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Any abnormality in the tubes can affect or impede conception: hydrosalpinx, tubal occlusion or salpingitis. Ovulation induction is somewhat different from controlled ovarian hyperstimulation, which involves the use of some of the same medications to stimulate the development of multiple mature follicles and eggs in order to increase pregnancy rates with various infertility treatments. Earn up to 6 CME credits per issue.     To see the full article, log in or purchase access.

The most commonly prescribed injections that stimulate the ovary are called gonadotropins. If an endocrinopathy, such as hyperprolactinemia, is diagnosed, the underlying cause should be treated. It is increasingly recognized that egg quality is of critical importance and women of advanced maternal age have eggs of reduced capacity for normal and successful fertilization.

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Surgical residents who wish to focus on this area of surgery gain additional laparoscopic surgery training during one or two years of fellowship after completing their basic surgical residency. For patients with a history of endometriosis, pelvic infections, or ectopic pregnancy, evaluation with hysteroscopy or laparoscopy is recommended.

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However, this method is not particularly accurate. Acquired causes include tumor, infarction, radiation, infection, or granulomatous disease. Reducing the risk of multiple pregnancies Injectable fertility drugs can sometimes result in multiple births, for example, twins or triplets. ARTICLES FROM THE 1990s Microsurgery, Andrology, and Its Role in IVF. (PDF, 6 MB) Chapter in text book, Advances in Assisted Reproductive Technology, 1990. If natural selection is the primary error correction mechanism that prevents random mutations on the Y chromosome, then fertility treatments for men with abnormal sperm (in particular ICSI) only defer the underlying problem to the next male generation. Breeding with a proven fertile male must occur at the optimal time for the female.

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Some causes, such as hyperprolactinemia, are reversible with proper treatment. Embryo Development after ICSI Using Testicular, Epididymal and Ejaculated Spermatozoa. (PDF, 2 MB) Frontiers in Endocrinology, 1995. Laparoscopic and thoracoscopic surgery belong to the broader field of endoscopy. The Leydig cells in the testicles control the LH, and the cells build androgens. Three modalities are used to treat myomas: medical treatment, surgical treatment, and embolization. Medical management: - Ovarian suppression of minimal and mild endometriosis diagnosed as the cause of infertility in women does not enhance fertility and should not be offered. Partners may become more anxious to conceive, increasing sexual dysfunction.[17] Marital discord often develops, especially when they are under pressure to make medical decisions.