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Quantitative Evaluation of Spermatogenesis by Testicular Histology in Men with Congenital Absence of the Vas Deferens Undergoing Epididymal Sperm Aspiration. (PDF, 3 MB) Human Reproduction, 1990. Perfect Anatomical Reconstruction of Vas Deferens with a new Microscopic Surgical Technique. (PDF, 19 MB)Fertility and Sterility, 1977. Thankfully, even when the cause of infertility is not known, various fertility treatments can eventually lead to delivery of a healthy baby. Laparoscopic and thoracoscopic surgery belong to the broader field of endoscopy. Many health conditions can make it hard to get pregnant.

Sperm or egg donation: If necessary, sperm or eggs can be received from a donor. Do you have a family history of medical problems?

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Although relatively uncommon, eating disorders can negatively affect menstruation, fertility, and maternal and fetal well-being. These may be purchased over the counter and allow couples to predict the most fertile days in the cycle. Evaluating the Infertile Male – Part 1. (PDF, 5 MB) Contemporary OB/GYN, 2004. This may be used if IVF has not been effective, if there has been poor embryo growth rate, and if the woman is older. Antibodies that attack sperm Anti-sperm antibodies are immune system cells that mistakenly identify sperm as harmful invaders and attempt to eliminate them.

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Afterward, the embryo transfer follows with a sterile special catheter into the cavum uteri. It can also help if a man has severe erectile dysfunction. For men, a visual inspection of sexual characteristics can identify such endocrinopathies as hypogonadism (a condition resulting in atrophy or deficient development of secondary sexual characteristics) or Klinefelter’s syndrome (a genetic anomaly often associated with infertility).

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If ovulation does not occur with the 50-mg dose, the CC dose must be increased in subsequent cycles to 100 mg for 5 days. Release of GnRH is stimulated by melatonin from the pineal gland and inhibited by testosterone, inhibin, corticotropin-releasing hormone, opiates, illness, and stress. However, these tests have only poor to moderate predictive value despite widespread use. Passive smoking has also been linked to lower fertility. Cervical insemination has almost been abandoned because of its low success and has been relegated only to cases in which the sperm count is normal, such as in artificial insemination using donor sperm or if the sample has elevated white cells. It can also help if a man has severe erectile dysfunction. Excess alcohol consumption: This may lower male fertility. A dye test may be performed to detect any blockage in the reproductive tract, wherein a dark blue dye is passed up through the cervix and is followed with the laparoscope through its passage out into the fallopian tubes to the ovaries.[1] See also[edit] [edit] External links[edit] Feder, Barnaby J.Infertility is the inability of a person, animal or plant to reproduce by natural means. This standardized approach to the management of infertility will lead to more efficient, systematic and economic care for the infertile couple. This pattern has been linked with aggressive behavior. The epididymis is a 3- to 4-cm long structure with a tubular length of 4-5 m.