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At this point, pouring the semen drop by drop should be possible. Teratozoospermia is when there are a large number of sperms with abnormal morphology. Adhesions with the surrounding tissue can develop as well, and reduce the motility of the tubes.

Choose a single article, issue, or full-access subscription. Men who are underweight tend to have lower sperm concentrations than those who are at a normal BMI. Pregnancy After Testicular Transplant: Importance of Treating the Couple. (PDF, 5 MB) Fertility and Sterility, 1980. In vitro fertilization (IVF). In this technique, your doctor places into your uterus that were fertilized in a dish. Normal Fertilization of Human Oocytes after Testicular Sperm Extraction and Intracytoplasmic Sperm Injection.(PDF, 2 MB) Fertility and Sterility, 1994. Distribution of Spermatogenesis in the Testicles of Azoospermic Men: The Presence of Spermatids in the Testes of Men with Germinal Failure. (PDF, 295 KB) Human Reproduction, 1997.

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Cystic fibrosis: This is a chronic disease that results in the creation of a sticky mucus. Article Sections Infertility is defined as the inability to achieve pregnancy after one year of regular, unprotected intercourse.

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Eating disorders such as anorexia nervosa are also associated with extremely low BMI. At the same time, the number of pregnancy losses and malformations in the foetus increase.

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Fertilizing Capacity of Epididymal and Testicular Sperm using Intracytoplasmic Sperm Injection (ICSI). (PDF, 7 MB)Reproduction, Fertility and Development, 1995. It is often defined as not conceiving after 12 months of regular sexual intercourse without the use of birth control. Ideally, patients respond to replacement with exogenous GnRH or HCG, an LH analogue, although this does not always occur. Patients who do not achieve ovulation after three to six cycles should be referred to an infertility specialist for further treatment. Prior surgeries Certain surgeries may prevent you from having sperm in your ejaculate, including vasectomy, inguinal hernia repairs, scrotal or testicular surgeries, prostate surgeries, and large abdominal surgeries performed for testicular and rectal cancers, among others. Perfect Anatomical Reconstruction of Vas Deferens with a new Microscopic Surgical Technique. (PDF, 19 MB)Fertility and Sterility, 1977. 3) Tubal occlusion (blockage): As discussed previously, a history of sexually transmitted infections including chlamydia, gonorrhea, or pelvic inflammatory disease can predispose a woman to having blocked fallopian tubes. If fimbriectomy was performed, no treatment is available other than IVF.