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Recent Advances in Male Reproductive Surgery. (PDF, 10 MB) Chapter 13 from Annual Progress in Reproductive Medicine, 1993. Endometrial polyps Endometrial polyps are growths found in the uterine cavity. A decreased testosterone level with an increased FSH level points to primary hypogonadism. It must be kept in mind that a woman is no longer fertile around six years prior to the menopause. In vitro fertilization (IVF). In this technique, your doctor places into your uterus that were fertilized in a dish.

The Use of Epididymal Sperm in Assisted Reproduction. (PDF, 8 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. Germ cells and white blood cells both appear as round cells on microscopic examination, so immunohistochemical stains are used to differentiate the 2 cell types. Assisted hatching: The embryologist opens a small hole in the outer membrane of the embryo, known as the zona pellucid. Mumps, leading to orchitis (testicular inflammation), may cause secondary testicular atrophy in the small number of men infected after puberty. Fertilizing Capacity of Epididymal and Testicular Sperm using Intracytoplasmic Sperm Injection (ICSI). (PDF, 7 MB)Reproduction, Fertility and Development, 1995. Perspectives on infertility consultations in primary care: a qualitative study.

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Bromocriptine (Parlodel): This drug inhibits prolactin production. Successful Pregnancy and Delivery after Calcium Ionophore Oocyte Activation in a Normozoospermic Patient with Previous Failed Fertilization after Intracytoplasmic Sperm Injection. (PDF, 57 KB) Fertility and Sterility, 2003. Effects[edit] Psychological[edit] The consequences of infertility are manifold and can include societal repercussions and personal suffering. Each day of abstinence is typically associated with an increase in semen volume of 0. Varicocele and male factor infertility treatment: a new meta-analysis and review of the role of varicocele repair. The rest of the time, it is because of both partners or no cause can be found.

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BMI (body mass index) may be a significant factor in fertility, as an increase in BMI in the male by as little as three units can be associated with infertility. Malformation of the eggs themselves may complicate conception. Fallopian tubes that are patent and will function to permit the sperm and ovum to meet and allow migration of the conceptus to the uterus. In these methods, fertilization occurs inside the body.

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A rapid slide agglutination test (RSAT) kit to detect serum antibodies is commercially available. However, there are various scenarios where one may be advised to seek help earlier. Generally, evaluation should be offered to couples who have not conceived after one year of unprotected vaginal intercourse. She will also undergo a gynecologic examination and a number of tests: Laparoscopy involves inserting a thin tube with a camera on to investigate and possibly remove unwanted tissue. Sertoli Cell only Revisited. (PDF, 1 MB) Human Reproduction, 1995. Simultaneous Treatment of the Wife in Infertile Couples with Oligospermia. (PDF, 4 MB) Fertility and Sterility, 1983. Uterine fibroids Fibroids are noncancerous growths in the uterus. Successful Pregnancy and Delivery after Calcium Ionophore Oocyte Activation in a Normozoospermic Patient with Previous Failed Fertilization after Intracytoplasmic Sperm Injection. (PDF, 57 KB) Fertility and Sterility, 2003. If oligospermia or azoospermia is noted, hypogonadism should be suspected. Understanding what defines normal fertility is crucial to helping a person, or couple, know when it is time to seek help.