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Reversal of Vasectomy and the Treatment of Male Infertility. (PDF, 4 MB) Journal of Andrology, 1980. Abundant Gene Conversion Between Arms of Palindromes in Human and Ape Y Chromosomes. (PDF, 340 KB)Nature, 2003. Come and meet us to find out more about how we can help you.

Taking testosterone, or any over-the-counter androgen like DHEA (for weight training), can harm fertility, says Shaban. “People have had unnecessary surgeries because they forgot to say they were on these medicines,” he warns. Povey AC, Clyma JA, McNamee R, et al.; Participating Centres of Chaps-UK. Microsurgery of the Male Genitalia for Infertility. (PDF, 8 MB) Chapter 59 from Reconstructive Urologic Surgery, 1994. Retrograde ejaculation: Sperm can be taken directly from the bladder and injected into an egg in the laboratory. Low testosterone (male hypogonadism) and other hormonal problems have a number of possible underlying causes.

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Predominantly anovulation is caused by hormonal imbalances such as Polycystic Ovarian Syndrome (PCOS) but ovarian scarring and premature menopause can also result in failure to ovulate. • Tubal disease, comprising anything from mild adhesions to complete blockage of the fallopian tubes, prevents fertilised eggs from travelling from the site of fertilisation to the uterus. To prevent thromboembolism, a sufficient intake of fluids is necessary; also, ascites and pleural effusions should not lead to the wrong track and lead to a restriction of fluids.

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A low testosterone level with a low FSH level signals a secondary cause. Polycystic ovary syndrome (PCOS): The ovaries function abnormally and ovulation may not occur. Therefore, any pituitary malfunctioning affects other glands under its influence, including the ovaries.

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These medicines are listed below: sulfasalazine – an anti-inflammatory medicine used to treat conditions such as Crohn's disease and rheumatoid arthritis; sulfasalazine can decrease the number of sperm, but its effects are temporary and your sperm count should return to normal when you stop taking it anabolic steroids – are often used illegally to build muscle and improve athletic performance; long-term abuse of anabolic steroids can reduce sperm count and sperm mobility chemotherapy – medicines used in chemotherapy can sometimes severely reduce sperm production herbal remedies – some herbal remedies, such as root extracts of the Chinese herb Tripterygium wilfordii, can affect the production of sperm or reduce the size of your testicles Illegal drugs, such as marijuana and cocaine, can also affect semen quality. 6 Women with risk factors for tubal obstruction, such as endometriosis, previous pelvic infections, or ectopic pregnancy, should instead be offered hysteroscopy or laparoscopy with dye to assess for other pelvic pathology. Alternatively, the patient may bypass surgical treatment and proceed directly to intrauterine insemination or in vitro fertilization, depending on the severity and the female partner's age. 2) Ovulation disorders: Normal and regular ovulation, or release of a mature egg, is essential for women to conceive naturally. A woman with a suspicion of chronic anovulation most probably due to polycystic ovary (PCO) syndrome, as there is a long history of irregular cycles and clinical presentation with hirsutism, her serum levels of testosterone hormone, sex hormone binding globulin (SHBG), dihydroepiandrostenedione (DHEA), dihydroepiandrostenedione-sulfate (DHEAS) and prolactin should be evaluated to prove the provisional diagnosis and to detect the source of excess androgens. Assisted conception The following methods are currently available for assisted conception. Your physician will examine you carefully to determine if you have fibroids and if removal is necessary.