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Often, varicoceles or past infections such as mumps orchitis are the cause of sterility. Counseling about options should be offered to couples who are not physically able to conceive (i.e., same-sex couples or persons lacking reproductive organs).

This leads to the final maturation and release of the egg. Microsurgery Successful in Vasectomy Reversals. (PDF, 156 KB) The New York Times, 1975.

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For intrauterine insemination, in vitro fertilization, and intracytoplasmic sperm injection procedures, the removal of certain components of the ejaculate (ie, seminal fluid, excess cellular debris, leukocytes, morphologically abnormal sperm) with the retention of the motile fraction of sperm is desirable. For example, endometriosis can cause infertility with the growth of endometrial tissue in the Fallopian tubes or around the ovaries. MESA or TESA? (PDF, 115 KB) Human Reproduction, 1996.

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The secondary spermatocytes undergo a second meiosis and become spermatids. The AZFc Region of the Y Chromosome Features Massive Palindromes and Uniform Recurrent Deletions in Infertile Men. (PDF, 5 MB) Nature Genetics, 2001. If a woman needs an HCG injection to activate ovulation and ultrasound scans show that too many follicles have developed, it is possible to withhold the HCG injection. The advent of computer chip-based television cameras was a seminal event in the field of laparoscopy. Fertilizing Capacity of Epididymal and Testicular Sperm with ICSI. (PDF, 5 MB) Frontiers in Endocrinology, 1995. Apparent Fertility of Human Spermatozoa from the Caput Epididymidis. (PDF, 4 MB) Journal of Andrology, 1989.

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The diagnosis of congenital anestrus is based on the age of the animal and exclusion of all other possible causes (including chromosomal defects, endocrine disorders, and previous oophorectomy). The good news is that most cases of male infertility can be resolved either by treating the problem or using fertility treatments. Debate over whether health insurance companies (e.g. in the US) should be required to cover infertility treatment. Psychological/Physical/Behavioral Problems: Several sexual problems exist that can affect male fertility.  These problems are most often both psychological and physical in nature:  it is difficult to separate the physiological and physical components. A decreased testosterone level with an increased FSH level points to primary hypogonadism. If you and your partner agree, extra embryos can be frozen and saved to use later. When the eggs are mature, your doctor collects them with a device called a vaginal ultrasound probe. An estimated 28% of all couples seeking reproductive assistance may have normal findings on their clinical evaluation, making the unexplained infertility a more common provisional diagnosis. Erectile dysfunction or premature ejaculation: Medication, behavioral approaches, or both may help improve fertility. Problems in the uterus or fallopian tubes can prevent the egg from traveling from the ovary to the uterus, or womb.