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A treatment plan should be generated according to the diagnosis, duration of infertility, and the woman's age. Because sperm generation time is just over two months, it is recommended to wait three months before repeat sampling.

Retrograde ejaculation: Sperm can be taken directly from the bladder and injected into an egg in the laboratory. High Fertilization and Pregnancy Rate after Intracytoplasmic Sperm Injection with Spermatozoa Obtained from Testicle Biopsy. (PDF, 3 MB) Human Reproduction, 1995. Luttjeboer F, Harada T, Hughes E, Johnson N, Lilford R, Mol BW. Three modalities are used to treat myomas: medical treatment, surgical treatment, and embolization. In GIFT, the sperm and eggs are mixed together before a doctor inserts them.

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Similarly, there is no need for testing tubal patency for couples who will require IVF or ICSI procedure. Outcome of Intracytoplasmic Sperm Injection with Testicular Spermatozoa in Obstructive and Non-obstructive Azoospermia. (PDF, 426 KB) Human Reproduction, 1996. Peritubaric adhesions can be caused by endometriosis. The use of Epididymal and Testicular Spermatozoa for Intracytoplasmic Sperm Injection: The Genetic Implications for Male Infertility. (PDF, 8 MB) Human Reproduction, 1995. Men with Infertility Caused by AZFc Deletion can Produce Sons by Intracytoplasmic Sperm Injection, but are Likely to Transmit the Deletion and Infertility. (PDF, 102 KB) Human Reproduction, 1999.

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In such cases, the vas deferens connecting the testicle and prostate is not formed. Practice Committee of American Society for Reproductive Medicine. Carcinoma in the Bladder Left Behind. (PDF, 3 MB) The Journal of Urology, 1973. The Relationship of Abnormal Semen Parameters to Male Fertility. (PDF, 4 MB) Human Reproduction, 1989. Preliminary Tests of a New Reversible Male Contraceptive in Bush Dog, Speothos Venaticus: Open-ended Vasectomy and Microscopic Reversal. (PDF, 106 KB) Journal of Zoo and Wildlife, 2006. Several studies have demonstrated that an increase in BMI is correlated with a decrease in sperm concentration, a decrease in motility and an increase DNA damage in sperm.

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In this case, your doctor may recommend surgically extracting sperm from part of your reproductive tract to help you to conceive. Abnormal semen may not be able to carry the sperm effectively. Because sperm generation time is just over two months, it is recommended to wait three months before repeat sampling. Controversies in OB/GYN: Is Varicocelectomy Useful for Treatment of Male-factor Infertility? (PDF, 4 MB)Contemporary OB/GYN, 2001. The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. Unexplained infertility[edit] In the US, up to 20% of infertile couples have unexplained infertility.[61] In these cases abnormalities are likely to be present but not detected by current methods.