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Normal Intrauterine Pregnancy After Reversal of Tubal Sterilization in the Wife and Vasectomy in the Husband.(PDF, 1 MB) Fertility and Sterility, 1978. Aetiology of Congenital Absence of Vas Deferens: Genetic Study of Three Generations. (PDF, 4 MB) Human Reproduction, 1993. Anabolic steroids: Popular with bodybuilders and athletes, long-term use can seriously reduce sperm count and mobility. The epididymis is a coil-like structure in the testicles which helps store and transport sperm. However, in our modern era, women are delaying child birth until their thirties and forties, which has lead to the discovery of the adverse effect of advanced maternal age on egg function. 6-Mb Deletion of the Human Y Chromosome Persists Through Balance Between Recurrent Mutation and Haploid Selection. (PDF, 295 KB) Nature Genetics, 2003.

Laparoscopy: A thin, flexible tube with a camera at the end is inserted into the abdomen and pelvis, allowing a doctor to look at the fallopian tubes, uterus, and ovaries. Ectopic pregnancy This is when a fertilized egg implants outside the womb, usually in a fallopian tube. If there is a history of recurrent miscarriages (2 or more) a lupus anticoagulant (LAC) and anti-cardiolipin antibody (ACL) are often done, as well as other tests. Problems in the uterus or fallopian tubes can prevent the egg from traveling from the ovary to the uterus, or womb. If you and your partner agree, extra embryos can be frozen and saved to use later. Do you have any medical problems or prior surgeries?

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Polycystic ovary syndrome (PCOS): The ovaries function abnormally and ovulation may not occur. Diagnosis and Management of Hypogonadism, Infertility, and Impotence. (PDF, 13 MB) Chapter 22 of textbook,Male Reproductive Dysfunction, 1986. The substances are preferentially used at the beginning of the cycle.

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IVF was a major breakthrough because it allowed for successful pregnancies in women that were previous deemed permanently infertile, such as when the fallopian tubes are both markedly damaged. Vitrification of oocytes from endangered Mexican gray wolves (Canis lupus baileyi). (PDF, 319 KB) Theriogenology, 2010. The average pregnancy rate achieved after a natural-cycle intrauterine insemination is 8%.

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Management of ejaculatory failure: - Can be of great value as in retrograde ejaculation. Evaluation may be initiated sooner in patients who have risk factors for infertility or if the female partner is older than 35 years. Treatment of Male-factor Infertility. (PDF, 10 MB) Chapter 9 from Progress in Infertility, 1993. Therefore, a total of 4 spermatids are made from each spermatocyte. Where Dreams are Born. (PDF, 2 MB) Jewish Light, 2010. Effect of male age on fertility: evidence for the decline in male fertility with increasing age. Intrauterine insemination is a process by which sperm is washed and prepared for placement into the uterine cavity, therefore bypassing the cervix and bringing a higher concentration of motile sperm closer to the tubes and ovulated egg. Semen and sperm Sometimes the sperm cannot travel effectively to meet the egg. The AZFc Region of the Y Chromosome Features Massive Palindromes and Uniform Recurrent Deletions in Infertile Men. (PDF, 5 MB) Nature Genetics, 2001. Outside pregnancy and lactation, women with high levels of prolactin may have irregular ovulation cycles and fertility problems.