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Abnormal semen may not be able to carry the sperm effectively. Studies on Testicular Biopsies from Vasectomized Men. (PDF, 18 MB) Chapter 21 from Vasectomy: Immunologic and Pathophysiologic Effects in Animals and Man, 1979. Microsurgical Aspects of Varicocele. (PDF, 9 MB) Fertility and Sterility, 1979.

Ovulation should be documented by serum progesterone level measurement at cycle day 21. Menstrual blood is usually bright red at the beginning of a person's period and may get darker over the following days.

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As the major causes of infertility are sperm abnormalities, ovulation dysfunction, and fallopian tube obstruction, the preliminary adviced investigations for the infertile couple should be focused on semen analysis (to be compared with the WHO reference values [27]), detection of ovarian function by hormonal assay (early follicular FSH and LH levels, and mid-luteal progesterone), and evaluation of tubal patency by hysterosalpingography (HSG) [17-32], (Appendix 3). Women receiving fertility treatment have a slightly higher risk of an ectopic pregnancy. Used by some clinicians to evaluate the motility of the sperm and its ability to travel through the cervical mucus. Due to the relative high cost of the equipment required, however, it has not become commonplace in most traditional practices today but rather limited to specialty-type practices.

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Such tissue growth and its surgical removal can cause scarring and prevent fertilization.  Uterine and cervical causes  Problems in the uterus or cervix may also affect fertility. Hypothyroid bitches might not cycle or have increased abortion rates, or neonatal survival may be poor. The epididymis is a coil-like structure in the testicles which helps store and transport sperm. In most cases, surgery can be performed to either reverse these blockage or to retrieve sperm directly from the epididymis and testicles.

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The basic work-up, or fertility evaluation, includes: Semen analysis of the male partner. Finding out that you're infertile can be an unpleasant surprise, to say the least. “Many men feel emotional stress with a diagnosis of infertility,” says Ross. The endometrium can be damaged from previous curettages or infections like endometritis. Symptoms depend on what is causing the infertility. Unexplained infertility[edit] In the US, up to 20% of infertile couples have unexplained infertility.[61] In these cases abnormalities are likely to be present but not detected by current methods. Understanding what defines normal fertility is crucial to helping a person, or couple, know when it is time to seek help. This abnormality is usually surgically corrected in infancy. 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. 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. Testis Biopsy and the Infertile Male. (PDF, 20 MB) Chapter 15 from textbook Office Andrology, 2005.