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Age, socio-economic, cultural and other environmental factors: Over the last few years, age has become the most common of these causes of infertility. Diagnosis and Management of Hypogonadism, Infertility, and Impotence. (PDF, 13 MB) Chapter 22 of textbook,Male Reproductive Dysfunction, 1986. Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989. Your doctor may ask you many of the following questions: How long have you been trying to get pregnant? Treatment Possibilities: Female Infertility Depending on the cause of infertility, there are different possibilities for treatment. The sample should be processed within 1 hour, and 2-3 samples (at a minimum of 2-3 days apart) should be evaluated because of daily variations in sperm number and quality.

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. 8) Unexplained/other: Sometimes a full evaluation does not reveal the cause of infertility.

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Ageing ” population ... chronic & degenerative diseases Multiple health problems are common in elderly people THE ... If conception does not occur after many months or years of trying, it can lead to stress and possibly depression. Immediate surgery is needed and, sadly, the tube on that side will be lost. Tumors Cancers and nonmalignant tumors can affect the male reproductive organs directly, through the glands that release hormones related to reproduction, such as the pituitary gland, or through unknown causes. Bladder neck closure during ejaculation is vital to ensure antegrade ejaculation. Fertilizing Capacity of Epididymal and Testicular Sperm using Intracytoplasmic Sperm Injection (ICSI). (PDF, 7 MB)Reproduction, Fertility and Development, 1995.

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For patients with a history of endometriosis, pelvic infections, or ectopic pregnancy, evaluation with hysteroscopy or laparoscopy is recommended. Patients may achieve normal virilization and adult phenotype by the administration of exogenous testosterone, but they are infertile. Normal Intrauterine Pregnancy After Reversal of Tubal Sterilization in the Wife and Vasectomy in the Husband.(PDF, 1 MB) Fertility and Sterility, 1978. Surgical treatment of myomas is indicated in cases of abnormal uterine bleeding, when the myoma is implicated in recurrent miscarriages or when it is thought to interfere with embryo implantation.

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The more fetuses there are, the higher the risk of premature labor. Editorial: The Cure and Proliferation of Male Infertility. (PDF, 2 MB) The Journal of Urology, 1998. At least one open tube is required for IUI, and any sperm abnormality cannot be severe, otherwise the sperm will not be able to swim to and fertilize the egg. Microsurgery and Andrology. (PDF, 5 MB) Chapter from textbook, 1991. Panhypopituitafism: Complete pituitary gland failure--lowers growth hormone, thyroid-stimulating hormone, and LH and FSH levels.  Symptoms include:  lethargy, impotence, decreased libido, loss of secondary sex characteristics, and normal or undersized testicles.  Supplementing the missing pituitary hormones may restore vigor and a hormone called hCG may stimulate testosterone and sperm production. Defects of tubules that transport sperm There are many different tubes that carry sperm. Luttjeboer F, Harada T, Hughes E, Johnson N, Lilford R, Mol BW. Age: Male fertility starts to fall after 40 years. Management of the infertile couple: an evidence-based protocol. It is increasingly recognized that egg quality is of critical importance and women of advanced maternal age have eggs of reduced capacity for normal and successful fertilization.