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Author disclosure: No relevant financial affiliations. Benign prostatic hyperplasia does not affect fertility. 2012;27(8):2396–2404.   Want to use this article elsewhere? Hypothyroidism has no effect on male libido or semen quality.

29 When the semen analysis is abnormal, referral to a male fertility specialist or reproductive endocrinologist is warranted. This procedure is performed in the doctor’s office without anesthesia.

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Surgeons who choose this hand-assist technique feel it reduces operative time significantly versus the straight laparoscopic approach. In men who have the necessary reproductive organs to procreate, infertility can be caused by low sperm count due to endocrine problems, drugs, radiation, or infection.

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Further investigations 18. Laparoscopy: - Invasive procedure. - to check for pelvic disease; such as endometriosis and to check tubal patency. - therapeutic as in laparoscpic myomectomy and ovarian drilling. Hysteroscopy: - to evaluate uterine cavity. - In case of repeated failed IVF cycles. - therapeutic as in intrauterine septum. A Series of Monozygotic Twins Discordant for Ovarian Failure: Ovary Transplantation (Cortical versus Microvascular) and Crypreservation. (PDF, 791 KB) Human Reproduction, 2008. Clomiphene citrate and/or Metformin. - folliculometry via TVUSS should be done to avoid multiple pregnancies and risk of OHSS. - Not for more than 6 months. Women in group II include those with polycystic ovary syndrome and hyperprolactinemia. Source : Preserving your fertility - University of Kansas Hospital PPT Presentation Summary : Preserving your fertility.

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Hysterosalpingography: Fluid is injected into the woman's uterus and X-rays are taken to determine whether the fluid travels properly out of the uterus and into the fallopian tubes. New Treatment for Infertility Due to Congenital Absence of Vas Deferens. (PDF, 1 MB) The Lancet, 1987. Prolonged diestrus can result from luteal cysts in the ovary. Microsurgical Reversal of Tubal Sterilization: Factors Affecting Pregnancy Rate, with Long-term Follow-up. (PDF, 2 MB) Obstetrics & Gynecology, 1984. PID leads to a blockage of the fallopian tubes, which prevents fertilization. Some causes, such as hyperprolactinemia, are reversible with proper treatment. This process bypasses the normal fertilization process, which may be compromised due to poor sperm function. Common causes of infertility of females include: ovulation problems (e.g. polycystic ovarian syndrome, PCOS, the leading reason why women present to fertility clinics due to anovulatory infertility.[58]) tubal blockage pelvic inflammatory disease caused by infections like tuberculosis age-related factors uterine problems previous tubal ligation endometriosis advanced maternal age immune infertility Males[edit] The main cause of male infertility is low semen quality. During ejaculation, the ejaculate is propelled forward by the rhythmic contractions of the smooth muscle that surrounds the ducts and by the bulbourethral muscles and other pelvic muscles. These areas include the fallopian tubes, ovaries, small or large intestine, and the walls of the abdominal cavity and pelvis. In vitro fertilization (IVF). In this technique, your doctor places into your uterus that were fertilized in a dish.