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A vasectomy can be reversed, but reversals aren't usually successful. In closed social groups, a degree of rejection (or a sense of being rejected by the couple) may cause considerable anxiety and disappointment. Testicle pain or swelling There are several different conditions that could lead to pain or swelling in the testicles, many of which could contribute to infertility. Medicines and drugs  The side effects of some types of medicines and drugs can affect your fertility. Postcoital testing and antisperm antibody testing are no longer considered useful in this evaluation.

Environmental toxins, including pesticides and lead. Further investigations Investigation of suspected tubal and uterine abnormalities: 1.

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Excess cortisol may be produced by adrenal hyperplasia, adenomas, carcinoma, or lung tumors. The quality of the cervical mucus can be improved with the administration of a small dose of estrogens, or the problem can be bypassed by intrauterine insemination. [163, 209] If the follicle is smaller than 23-24 mm at the time of ovulation, a better size can be obtained by starting the CC therapy on the menstrual cycle day 2. ICSI with Epididymal and Testicular Sperm Retrieval. (PDF, 1 MB) Male Sterility and Motility Disorders: Etiological Factors and Treatment, 1998. Graft-versus-host Reactivity and Renal Allograft Survival in Rats Given Allogeneic Spleen Cells or Spleen Allografts.(PDF, 2 MB) Transplantation, 1976.

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Do you have a family history of medical problems? The only known risk factor for Klinefelter syndrome is advanced maternal age.

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Fresh Ovarian Tissue and Whole Ovary Transplantation. (PDF, 373 KB) Seminars in Reproductive Medicine, 2009. The effects of age on fertility are moderate and do not begin to take an effect until the late 30s. These men are at a higher risk for breast cancer, leukemia, diabetes, empty sella syndrome, and pituitary tumors. This can be done by a urine test, basal body temperature chart, progesterone test and/or endometrial biopsy. Luteal phase support. (and cryopreservation choice offered if good quality embryos are available) IVF/ICSI 37. Down-regulation: - to avoid premature LH surge and spontenous ovulation. - either GnRH agonist protocol or GnRH antagonist protocol. - always use GnRH antagonist protocol in women with high risk of OHSS. 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. The effect of age upon men's fertility is less clear.[citation needed] In people going forward for IVF in the UK, roughly half of fertility problems with a diagnosed cause are due to problems with the man, and about half due to problems with the woman. Is Congenital Bilateral Absence of Vas Deferens a Primary Form of Cystic Fibrosis?