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The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. 2 This encompasses couples with infertility and impaired ability to get pregnant, but it does not capture those who are not married, so actual numbers may be underestimated. 6-Mb Deletion of the Human Y Chromosome Persists Through Balance Between Recurrent Mutation and Haploid Selection. (PDF, 295 KB) Nature Genetics, 2003. Renal Echinococcus. (PDF, 1 MB) The Journal of Urology, 1972. Understanding the normal reproductive process is essential in knowing when to seek help. Hormone imbalances Infertility can result from disorders of the testicles themselves or an abnormality affecting other hormonal systems including the hypothalamus, pituitary, thyroid and adrenal glands.

Signs of infertility include irregular, excessively heavy, or absent periods as well as sudden weight gain, painful sex, or vaginal infections. When anatomic variance or obstruction is suspected, referral for surgical evaluation and treatment is appropriate. Normal Intrauterine Pregnancy After Reversal of Tubal Sterilization in the Wife and Vasectomy in the Husband.(PDF, 1 MB) Fertility and Sterility, 1978. For this reason, a call for low-cost ART protocols have been attempt to reduce the overall current cost of IVF through limiting the rquired laboratory investigations, modifying the stimulation regimen and purchasing low-priced pre-used machines and instruments [35]. Patients with azoospermia or severe oligospermia seeking assisted reproductive techniques should be screened. 8,33,35,36 Lastly, in vitro fertilization, with or without intracytoplasmic sperm injection, is the mainstay of assisted reproductive technology for male factor infertility.

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Semen analysis: A sample may be taken to test for sperm concentration, motility, color, quality, any infections, and whether any blood is present. Women are advised not to use the drug for more than one day.

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It is better for a couple to see the doctor together. In the majority of cases, there are no obvious symptoms that you may be infertile. Oocyte Vitrification – Women’s Emancipation Set in Stone. (PDF, 70 KB) Fertility and Sterility, 2008. A history and physical examination can help direct the evaluation.

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22 Treatment of Male Infertility Jump to section + Underlying etiology determines the therapeutic course, although male infertility is unexplained in 40% to 50% of cases. Your doctor will determine if you are at risk of having endometriosis based on a careful history, physical exam, and ultrasound. Couples will have to consider the ethical and emotional aspects of this procedure. Lead, toxic fumes and exposure to pesticides are suspected contributors to infertility. Your physician will examine you carefully to determine if you have fibroids and if removal is necessary. The treatment approach depends on the cause(s) of the infertility. Egg donation. This can help you if you have ovaries that don't work right but you have a normal uterus. Infertility may be caused by blockage of the Fallopian tube due to malformations, infections such as chlamydia or scar tissue.