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22 Treatment of Male Infertility Jump to section + Underlying etiology determines the therapeutic course, although male infertility is unexplained in 40% to 50% of cases. CASA measures the following parameters: Curvilinear velocity – The average distance per unit time between successive sperm positions) Straight-line velocity – The speed of forward direction Linearity – The straight-line velocity divided by the curvilinear velocity In addition, the program measures the average path velocity, the amplitude of lateral head displacement, and the flagellar beat frequency, and it is used to evaluate for evidence of hyperactivation. Although 60% of patients have evidence of antisperm antibodies after vasectomy, the clinical significance has not been completely elucidated.

Infertility Tests History and physical examination – First and foremost, your fertility physician will take a very thorough medical and fertility history. The patency of the fallopian tubes can also be checked. Grading is as follows: Grade 0 – No movement Grade 1 – Sluggish movement Grade 2 – Slow movement in a poorly defined direction Grade 3 – Slow or curved forward movement Grade 4 – Fast movement straight forward  Patients with abnormal sperm motility should be evaluated for the following: Pyospermia Antisperm antibodies Varicocele Sperm ultrastructural abnormalities Partial ductal obstruction Sperm morphology The head, acrosome, mid piece, and tail of individual spermatozoa are analyzed with phase-contrast microscopy after fixation with Papanicolaou stain. The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999.

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Careful monitoring during treatment and pregnancy can help reduce the risk of complications. Listen to Professor Cheong talk about the fertility investigations we offer       Repeated pregnancy loss Some people may not have difficulty conceiving, but have suffered from miscarriages. The potential for robotic surgery has had strong military interest as well, with the intention of providing mobile medical care while keeping trained doctors safe from battle.[citation needed] Non-robotic hand guided assistance systems[edit] There are also user-friendly non robotic assistance systems that are single hand guided devices with a high potential to save time and money. 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.

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Men who are underweight tend to have lower sperm concentrations than those who are at a normal BMI. 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. Transvaginal or abdominal paracentesis should be performed if the patient becomes uncomfortable.

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There is a consistent association of Mycoplasma genitalium infection and female reproductive tract syndromes. The doctor or WHNP may also be able to suggest lifestyle changes to increase the chances of conceiving.[65] Women over the age of 35 should see their physician or WHNP after six months as fertility tests can take some time to complete, and age may affect the treatment options that are open in that case. The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. Women 35 and older should see their doctor after six months of trying. Uterine fibroids Fibroids are noncancerous growths in the uterus. Make an appointment with your doctor and go over your concerns.