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RE: The Impalpable Testis: A Rational Approach to Management. (PDF, 389 KB) The Journal of Urology, 1979. Ductal blockage, as a result of an infection or congenital abnormality, may occur in the ducts that carry sperm from the testicles to the penis. Mixed gonadal dysgenesis (45, X/46, XY) Patients usually have ambiguous genitalia, a testis on one side, and a streaked gonad on the other. Painful or heavy periods Most women experience cramps with their periods. Possible problems could be that the egg is not released at the optimum time for fertilization, that it may not enter the fallopian tube, sperm may not be able to reach the egg, fertilization may fail to occur, transport of the zygote may be disturbed, or implantation fails.

Illegal drugs: Consumption of marijuana and cocaine can lower the sperm count. The sperm is washed in a fluid and the best specimens are selected. Modifiable and non-modifiable risk factors for poor semen quality: a case-referent study.

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Sperm motility Motility is described as the percent of sperm present with flagellar motion viewed on a bright-field or phase-contrast microscope. Hypospadias affects about 1 in every 500 newborn boys. Sperm can survive inside the female for up to 5 days, while an egg can be fertilized for up to 1 day after ovulation. If an endocrinopathy, such as hyperprolactinemia, is diagnosed, the underlying cause should be treated. Quantitative Evaluation of Spermatogenesis by Testicular Histology in Men with Congenital Absence of the Vas Deferens Undergoing Epididymal Sperm Aspiration. (PDF, 3 MB) Human Reproduction, 1990. If a semen analysis is found to be abnormal, generally it is first repeated to confirm the abnormality.

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Chromosomal causes and, in particular, Klinefelter syndrome. A vasectomy can be reversed, but reversals aren't usually successful. The treatment of uterine malformations depends on the severity of the problem. Inhibin B levels have been reported to decrease with increasing weight, which results in decreased Sertoli cells and sperm production. Polycystic ovarian syndrome is the most frequent indication for ovulation induction. It was broken down into male and female categories.

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This is followed by transvaginal oocyte retrieval, co-incubation and then embryo transfer of a safe number of follicles, which in international guidelines is no more than two.[19] Other treatments[edit] Bromocriptine acts in a completely different manner to the other treatments mentioned above. 37,38 The addition of 1,500 to 1,700 mg of metformin (Glucophage) daily may increase ovulation and pregnancy rates, but it does not significantly improve live birth rates over clomiphene alone. Women with anovulation may be treated in the primary care setting with clomiphene to induce ovulation. Measures the LH in urine to detect if and when ovulation has occurred. Endometriosis can only be confirmed by surgery, usually laparoscopy. Hystersalpingography (HSG): - usually after failed successive cycles of ovulation induction, and in some centres after failed IUI. - good predictive but requires expertise. Successful Vitrification of Bovine and Human Ovarian Tissue. (PDF, 3 MB) Reproductive BioMedicine Online, 2009. Microsurgical Solutions to Male Infertility. (PDF, 2 MB) Contemporary OB/GYN, 2005. However, these tests have only poor to moderate predictive value despite widespread use.