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The impact of fibroids located elsewhere in the uterus are controversial and do not always require surgery. Radiation therapy: This can impair sperm production.

Reifenstein syndrome in males involves partial androgen insensitivity in males and presents as a spectrum of abnormal external genitalia and infertility.[22] Because cells inadequately respond to androgen stimulation, spermatogenesis is impaired. Evaluation of the uterus and fallopian tubes can be performed by hysterosalpingography in women with no risk of obstruction.

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Y Chromosome Deletions in Azoospermic and Severely Oligozoospermic Men Undergoing Intracytoplasmic Sperm Injection after Testicular Sperm Extraction. (PDF, 336 KB) Human Reproduction, 1998. 30–32 Other treatment options include antiestrogens and gonadotropin therapy, which showed a trend toward increased live birth rates in a Cochrane review. Some women are infertile because their ovaries do not mature and release eggs.

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Oei SG, Helmerhorst FM, Bloemenkamp KW, Hollants FA, Meerpoel DE, Keirse MJ. Counseling Fertility clinics should address the psycho-social and emotional needs of infertile couples as well as their medical needs. The more fetuses there are, the higher the risk of premature labor. Before performing a tubocornual anastomosis, the patient should have a diagnostic laparoscopy associated with tubal cannulation by hysteroscopy. [139, 140, 141] If one tube remains open, anastomosis is not needed because pregnancy can be achieved in 50% of cases. ICSI with Epididymal and Testicular Sperm Retrieval. (PDF, 1 MB) Male Sterility and Motility Disorders: Etiological Factors and Treatment, 1998. Choose a single article, issue, or full-access subscription.

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Temporal relationship and reliability of the clinical, hormonal, and ultrasonographic indices of ovulation in infertile women. Eating disorders: If an eating disorder leads to serious weight loss, fertility problems may arise. Smoking during pregnancy increases the chance of pregnancy loss. 38,39 Family physicians may choose to attempt ovulation induction in anovulatory women (WHO group II) with clomiphene. Another requirement for male fertility is a normal ductal system. Couples will have to consider the ethical and emotional aspects of this procedure. Obesity can increase the risk for other conditions that may impact a man's fertility such as sperm quality and sexual dysfunction. There are three main types of fertility treatment: medical treatment (such as ovulation induction therapy); surgical treatment (such as laparoscopy and hysteroscopy); and the different assisted reproduction techniques [37]. Compensatory and Obligatory Renal Growth in Rats. (PDF, 1 MB) American Journal of Physiology, 1974. Pregnancy after Vasovasostomy for Vasectomy Reversal: A Study of Factors Followed for 10 Years. (PDF, 3 MB)Human Reproduction, 1989. Tests and trials are available, but testing does not always reveal a specific cause. Myoma treatment In general, small and asymptomatic myomas do not require treatment, but the patient should be periodically monitored. Noonan syndrome (46, XY) Patients with Noonan syndrome, also known as male Turner syndrome, have physical characteristics similar to that of women with Turner syndrome (45, X).