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There are several requirements for male fertility. Surgical ablation: - In minimal or mild endometriosis; surgical ablation or resection of endometriosis plus laparoscopic adhesiolysis improves the chance of pregnancy. - Laparoscopic resection of endometriomas may be beneficial, however recent RCTs suggest intervention only in endometriomas > 4cm. - In moderate or sever endometriosis; surgical treatment should be offered. (Debatable) - Post-operative medical treatment does not improve pregnancy rates. This can be done by a urine test, basal body temperature chart, progesterone test and/or endometrial biopsy. GIFT (gamete intrafallopian tube transfer) and ZIFT (zygote intrafallopian transfer).  Like IVF, these procedures involve retrieving an egg, combining it with sperm in a lab, and then transferring it back to your body.

A small incision is made in the abdomen, and a thin, flexible microscope with a light at the end, called a laparoscope, is inserted through it. 4) Uterine fibroids: Fibroids are very common (approximately 40% of women may have them) and the mere presence alone does not necessarily cause infertility. However, future pregnancy is possible with the other ovary and tube. Microscopic Vasectomy Reversal 30 Years Later: A Summary of 4010 Cases by the Same Surgeon. (PDF, 295 KB)Journal of Andrology, 2004. New Concepts in Operative Andrology: A Review. (PDF, 7 MB) International Journal of Andrology, 2000.

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CC has been in clinical use since the early 1960s. This technique involves an injection of a single healthy sperm directly injected into mature egg. In order to perform ICSI, an egg is held via a small suction pipette, while one sperm is injected into that egg using a very fine glass needle. This indicates whether the fallopian tubes are open or blocked. As new technology becomes available, fertility treatment is now accessible to more people, and success rates and safety are improving all the time.

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Endometriosis is common in women with infertility.. Ovarian hyperstimulation syndrome The ovaries can swell, leak excess fluid into the body, and produce too many follicles, the small fluid sacs in which an egg develops. Surprisingly, the complete absence of sperm in the semen (a condition known as azoospermia), can be a good thing. Other causes may include: Genetic factors: A man should have an X and Y chromosome. The night before the procedure, the patient must take 2 tablespoons of sodium bicarbonate.

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Lack of ovulation Patients with anovulation who did not ovulate after several cycles of CC at different doses of treatment are deemed clomiphene resistant. A review of systems and physical examination of the endocrine and gynecologic systems should be performed. Physical damage to the ovaries, or ovaries with multiple cysts, may affect their ability to function. As new technology becomes available, fertility treatment is now accessible to more people, and success rates and safety are improving all the time. Idiopathic Hypercalciuria. (PDF, 1 MB) New England Journal of Medicine, 1971. Anabolic steroids: Popular with bodybuilders and athletes, long-term use can seriously reduce sperm count and mobility. The follicle should develop to a diameter of 23-24 mm before a spontaneous LH surge occurs.