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It could be caused by a tumour, taking illegal drugs, or Klinefelter syndrome, a rare syndrome where a man is born with an extra female chromosome. Acquired causes include tumor, infarction, radiation, infection, or granulomatous disease.

A typical infection is particularly the adnexitis from Chlamydia, but also infections from Trepona pallidum (lues) and Neisseria gonorrhoea should be kept in mind. Epididymal Surgery. (PDF, 8 MB) Chapter 8 from textbook, Infertility, 1992. Endometriosis Endometriosis is a condition where small pieces of the womb lining (the endometrium) start growing in other places, such as the ovaries.

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The types of ART include: In Vitro Fertilization (IVF) Gamete Intrafallopian Transfer (GIFT) Zygote Intrafallopian Transfer (ZIFT) Another ART procedure – Intracytoplasmic Sperm Injection (ICSI) – is used mainly in cases of male infertility to treat couples who cannot achieve fertilization due to the male partner’s extremely low number of normal, viable sperm. Duration of Fertility after Fresh and Frozen Ovary Transplantation. (PDF, 606 KB) Fertility and Sterility, 2010.

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Effect of male age on fertility: evidence for the decline in male fertility with increasing age. Females[edit] The following causes of infertility may only be found in females.

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Renal Echinococcus. (PDF, 1 MB) The Journal of Urology, 1972. In men, cigarette smoking and alcohol use may cause poor sperm quality, and marijuana use can also be implicated in lower sperm motility and count. Evaluation should be pursued by 6 months of attempted pregnancy in women with a known history of these abnormalities or a history of bleeding between menstrual cycles. Some women have bilateral tubal occlusion, which is when both tubes are blocked. 8 If a woman has irregular cycles, the testing should be conducted later in the cycle, starting seven days before presumed onset of menses, and repeated weekly until menses. Outside pregnancy and lactation, women with high levels of prolactin may have irregular ovulation cycles and fertility problems. Hofherr SE, Wiktor AE, Kipp BR, Dawson DB, Van Dyke DL. The epididymis is a 3- to 4-cm long structure with a tubular length of 4-5 m. GIFT (gamete intrafallopian tube transfer) and ZIFT (zygote intrafallopian transfer).  Like IVF, these procedures involve retrieving an egg, combining it with sperm in a lab, and then transferring it back to your body.