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Blood, urine, and imaging tests can be done to discover why you are having trouble getting pregnant. Microscopic Vasectomy Reversal 30 Years Later: A Summary of 4010 Cases by the Same Surgeon. (PDF, 295 KB)Journal of Andrology, 2004. Treatment of the cause: 27. Tubal and uterine factors: 1. The advent of computer chip-based television cameras was a seminal event in the field of laparoscopy. Macroscopic deletions of Yq11 are often observed in patients with azoospermia, although many new microdeletions have been implicated as a significant cause of infertility.

Varicoceles are observed more commonly on the left side than the right. Normal Pregnancies Resulting from Testicular Sperm Extraction and Intracytoplasmic Sperm Injection for Azoospermia Due to Maturation Arrest. (PDF, 6 MB) Fertility and Sterility, 1996. Epididymal Surgery. (PDF, 8 MB) Chapter 8 from textbook, Infertility, 1992. Gonadotropin releasing hormone analogs (GnRH-a) are synthetic peptides whose structure is similar to the natural GnRH.

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It is possible that this mechanism evolved to protect the mother’s health. It is usually not the natural state of a healthy adult, except notably among certain eusocial species (mostly haplodiploid insects).

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Some suggest that the number of times a couple has intercourse should be reduced to increase sperm supply, but this is unlikely to make a difference. Diagnosis and Management of Hypogonadism, Infertility, and Impotence. (PDF, 13 MB) Chapter 22 of textbook,Male Reproductive Dysfunction, 1986.

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Exposure to some chemicals: Some pesticides, herbicides, metals, such as lead, and solvents have been linked to fertility problems in both men and women. Ejaculatory Duct Obstruction. (PDF, 3 MB) The Journal of Urology, 1980. Many infertile couples have had some previous assessment for their infertility and this data should be cautiously reviewed. Infertility service use in the United States: data from the National Survey of Family Growth, 1982–2010. In these methods, fertilization occurs inside the body. Testicular histology typically reveals a decreased number of Leydig cells and decreased spermatogenesis. Assessment of ovarian reserve This is a very important assessment of a woman's remaining egg supply It is done with blood testing and ultrasound: Blood - day 3 FSH, LH and estradiol hormone testing and AMH hormone levels Ultrasound - assessment of ovarian volume and antral follicle counts Assessment of adequate ovulation This can be done in a variety of ways. This test measures the ability of the sperm to penetrate a specially prepared egg from an animal, usually a hamster. VITRIKAS, MD, David Grant Medical Center Family Medicine Residency, Travis Air Force Base, California Am Fam Physician. 2015 Mar 1;91(5):308-314.   Patient information: See related handout on infertility, written by the authors of this article.   Related letter: Natural Procreative Technology for Treating Infertility This clinical content conforms to AAFP criteria for continuing medical education (CME). Environmental toxins, including pesticides and lead.