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The National Institute for Health and Care Excellence (NICE) recommends that women with unexplained infertility who haven't conceived after 2 years of having regular unprotected sex should be offered IVF treatment. Microsurgery for Vasectomy Reversal and Vasoepididymostomy. (PDF, 13 MB) Urology, 1984. High Fertilization and Pregnancy Rate after Intracytoplasmic Sperm Injection with Spermatozoa Obtained from Testicle Biopsy. (PDF, 3 MB) Human Reproduction, 1995. Investigations Infertile couples are usually adviced to start their investigations after 12 months of trying to conceive or after 6 months if the female partner is more than 35 years old or immediately if there is an obvious cause for their infertility or subfertility [16].

Treatment of Hemorrhage from Renal Trauma by Angiographic Injection of Clot. (PDF, 1 MB) The Journal of Urology, 1978. Temporal relationship and reliability of the clinical, hormonal, and ultrasonographic indices of ovulation in infertile women. Both infertility and subfertility are defined as the inability to conceive after a certain period of time (the length of which vary), so often the two terms overlap. Low testosterone (male hypogonadism) and other hormonal problems have a number of possible underlying causes. Blood test: The lab will test for levels of testosterone and other hormones. Diagnosis and Management of Hypogonadism, Infertility, and Impotence. (PDF, 13 MB) Chapter 22 of textbook,Male Reproductive Dysfunction, 1986.

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The FAST study: fertility assessment and advice targeting lifestyle choices and behaviours: a pilot study. The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999. Down syndrome These patients have mild testicular dysfunction with varying degrees of reduction in germ cell number. Irregular menstrual cycle The length of a menstrual cycle varies between individuals and over time.

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Adequate nutritional and health status to maintain nutrition and oxygenation of placenta and fetus. Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989. Prolactinoma A prolactin-secreting adenoma is the most common functional pituitary tumor. Medical management: - Ovarian suppression of minimal and mild endometriosis diagnosed as the cause of infertility in women does not enhance fertility and should not be offered. Chemotherapy: Some chemotherapy drugs can result in ovarian failure.

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Pregnancy with Sperm Aspiration from the Proximal Head of the Epididymis: A New Treatment for Congenital Absence of the Vas Deferens. (PDF, 2 MB) Fertility and Sterility, 1988. Nevertheless, scientists have found these stem cells, which may generate new oocites in postnatal conditions. These are agents that support the follicular maturation and the secretion of gonadotropins. Medication. If you have ovulation problems, you may be prescribed drugs such as clomiphene citrate (Clomid, Serophene), gonadotropins (such as Gonal-F, Follistim, Humegon and Pregnyl), or letrozole. Normal cervical mucus to allow passage of the sperm to the upper genital tract. A specimen is collected by masturbation into a clean, dry, sterile container or during coitus using special condoms (containing no spermicidal lubricants). Conversely, a young overweight woman who manages to lose weight could also relieve the problem of anovulation (losing just 5% of body mass could be enough to restart ovulation). In natural intercourse, only a fraction of the sperm make it into the woman’s genital tract.