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Kallmann syndrome has been described in both familial (X-linked and autosomal) and sporadic forms, and its incidence is estimated as 1 case per 10,000-60,000 births. A Modern View of Male Infertility. (PDF, 7 MB) From The Infertile Male: Advanced Assisted Reproductive Technology, 1994. Sperm counts can fluctuate, so that several samples may be necessary. An ultrasonography unit and an endocrine laboratory capable of performing daily determinations of E2, FSH, and LH are necessary. [186, 187, 188, 189] Multiple adverse effects and complications may occur during the use of the gonadotropins, including (1) multiple pregnancy (24-33%), (2) ectopic pregnancy (5-8%), (3) miscarriages (15-21%), (4) ovarian torsion and rupture, and (5) ovarian hyperstimulation syndrome, which is the most severe. [190, 191] Whittemore et al, using a large combined data set derived from case-controlled studies in the United States, showed that the increase of ovarian cancer associated with infertility might be due to the use of fertility drugs. [192] Ovarian hyperstimulation syndrome is an iatrogenic condition that occurs in patients undergoing ovulation induction with hMG or controlled ovarian hyperstimulation (COH) for assisted reproductive technologies. Requirements for Female Fertility One of the requirements for female fertility is a functioning reproductive anatomy and physiology. Handled with pure professionalism and care from the very start!Table of Contents Are you more of a visual learner?

These patients are often tall and severely oligospermic or azoospermic. 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). There are medications to help increase the chance of getting and keeping an erection. Chronic conditions: These include AIDS or cancer. Defects of tubules that transport sperm There are many different tubes that carry sperm.

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ART procedures, such as GIFT, IVF, and ICSI, also can be used in cases of male infertility. Smoking: Smoking significantly increases the risk of infertility in both men and women, and it may undermine the effects of fertility treatment. When clomiphene binds to estrogen receptors in the hypothalamus, it leads to an increase release of an important signaling hormone called GnRH (gonadotropin releasing hormone). Gonadotropins can trigger ovulation when Clomid or Serophene don't work.

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Chemotherapy: Some types may significantly reduce sperm count. Individual tests evaluate only one aspect of a quality necessary for fertility and do not imply the ability or inability to achieve conception (see the Table in the Procedures section).

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6) Male factors affecting sperm function: Male factor infertility has been associated as a contributing factor causing infertility in 40-50% percent of cases, and as the sole cause for infertility in 15-20% percent of cases. 4) In Vitro Fertilization (IVF): In vitro means “outside the body.” IVF is a process whereby eggs are collected and then fertilized by sperm outside the body, in an embryology laboratory. Gerrits T, Shaw M (2010). "Biomedical infertility care in sub-Saharan Africa: a social science review of current practices, experiences and view points". WHO Manual for the Standardized Investigation and Diagnosis of the Infertile Couple. Additional tests to determine sterility include blood tests, an ultrasound of the ovaries, hysterosalpingography to check for physical problems of the uterus and fallopian tubes. A small incision is made in the abdomen, and a thin, flexible microscope with a light at the end, called a laparoscope, is inserted through it. Microsurgery in Clinical Urology. (PDF, 5 MB) Urology, 1975. This allows for the diagnosis and treatment of conditions such as endometriosis with one procedure. Techniques for the Resolution of Testicular Obstruction. (PDF, 8 MB) Chapter 78 from textbook, Reconstructive Urology, 1992.