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Calcification of the Seminal Vesicles and Vas Deferens in a Uremic Patient. (PDF, 3 MB) The Journal of Urology, 1971. Intra-uterine insemination for male subfertility. Causes include: Surgery: Pelvic surgery can sometimes cause scarring or damage to the fallopian tubes.

However, it could be the future for the treatment of multiple diseases, including infertility. Anovulation can also cause cessation of periods (secondary amenorrhea) or excessive bleeding (dysfunctional uterine bleeding).

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Cervical factors are also thought to play a minor role, although they are rarely the sole cause. This is called luteinised unruptured follicle syndrome (LUFS). In 1901, Georg Kelling of Dresden, Germany, performed the first laparoscopic procedure in dogs, and, in 1910, Hans Christian Jacobaeus of Sweden performed the first laparoscopic operation in humans.[35] In the ensuing several decades, numerous individuals refined and popularized the approach further for laparoscopy. Lack of ovulation Patients with anovulation who did not ovulate after several cycles of CC at different doses of treatment are deemed clomiphene resistant. Intracytoplasmic Sperm Injection and Infertility. (PDF, 53 KB) Nature Genetics, 2001.

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Between 45 and 50 percent of cases are thought to stem from factors that affect the man. Your doctor may ask you many of the following questions: How long have you been trying to get pregnant? Unfortunately, there are some forms of male infertility that are not treatable.

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The embryo is then placed in the uterus to begin a pregnancy. Patients with a grade 1-3 varicocele (visible or palpable) associated with infertility should consider having the varicocele repaired. It's sometimes done while you're taking meds that help trigger the release of an egg. Fallopian tubes that are patent and will function to permit the sperm and ovum to meet and allow migration of the conceptus to the uterus. The patient's electrolyte levels must be checked to consider the need for diuretics. If the obstruction is caused by salpingitis isthmica nodosa or fibrosis, the best results are achieved through IVF. [142] Surgical preparation for IVF While the surgeon should be as conservative as possible, he or she should consider that the patient is better served with a single well-functioning fallopian tube than with 2 defective tubes, which elicits an increased risk for ectopic pregnancy or recurrence of pelvic adhesions. Treatment of the Normal Infertile Couple The prognosis for the normal infertile couple is poor and unpredictable. Blood tests Depending on the individual couple's situation, various blood tests on either the female or the male may be needed. Several studies have demonstrated that an increase in BMI is correlated with a decrease in sperm concentration, a decrease in motility and an increase DNA damage in sperm. Most typical are decreased libido, erectile dysfunction, orgasmic dysfunction, and ejaculatory dysfunction. If a woman has an ovulation disorder, she may ovulate infrequently or not all.