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Epididymal Surgery. (PDF, 8 MB) Chapter 8 from textbook, Infertility, 1992. On the contrary to women, in which is the issue can more commonly be detected, most male fertility issues, other than those caused by infections, are unexplained. These may cause abortion, neonatal death, fetal resorption, and apparent infertility. Erectile dysfunction Erectile dysfunction is when a man cannot get or keep an erection (get hard) for sex. Patients with adrenal hyperplasia and other disorders must be treated with prednisone. Male and female factors can exist in isolation or combination and fertility investigations, diagnoses and treatment should always be considered in the context of the couple.       Male factor Sperm problems will contribute to about 40% of infertility cases.

Conventional IVF vs ICSI (Intra Cytoplasmic Sperm Injection) for Patients Requiring Microsurgical Epididymal Sperm Aspiration (MESA). (PDF, 4 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. Unfortunately, tubal cauterization destroys a large amount of tissue, so the amount of fallopian tube remaining is often not long enough to facilitate a successful reanastomosis. Happily, many couples treated for infertility are able to have babies. The optimum fertile period is around 23 years of age when only 5% of women have issues getting pregnant.

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Ideally, using strict morphology criteria, a minimum of 5 – 15% normal forms leads to a better ability for sperm to fertilize the egg. Infection and Disease: Mumps, tuberculosis, brucellosis, gonorrhea, typhoid, influenza, smallpox, and syphilis can cause testicular atrophy.  A low sperm count and low sperm motility are indicators of this condition.  Also, elevated FSH levels and other hormonal problems are indicative of testicular damage.  Some STDs like gonorrhea and chlamydia can cause infertility by blocking the epididimis or tubes.  These conditions are usually treated by hormonal replacement therapy and surgery in the case of tubular blockage. Occasionally, the cytoplasm contains crystalloids of Reinke after puberty. Ovarian Transplantation in a Series of Monozygotic Twins Discordant for Ovarian Failure. (PDF, 188 KB) The New England Journal of Medicine, 2007.

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Women with anovulation may be treated in the primary care setting with clomiphene to induce ovulation. An abnormal semen analysis warrants a further evaluation usually by a reproductive urologist. 2. serum progesterone in the mid-luteal phase of their cycle (day 21 of a 28-day cycle) even if they have regular menstrual cycles. In some cases, the egg may have matured properly, but the follicle may have failed to burst (or the follicle may have burst without releasing the egg). Talk to your doctor if you experience the following: skin issues reduced sex drive facial hair growth thinning hair weight gain 5.

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Surgical sperm aspiration: The sperm is removed from part of the male reproductive tract, such as the vas deferens, testicle, or epididymis. Other factors that can affect a woman's chances of conceiving include being overweight or underweight,[56] or her age as female fertility declines after the age of 30.[57] Sometimes it can be a combination of factors, and sometimes a clear cause is never established. There is more controversy regarding intramural fibroids, where larger ones may have an impact and may necessitate removal. Intracytoplasmic Sperm Injection Today: A Personal Review. (PDF, 5 MB) Human Reproduction, 1998. Source : Infertility for the Family Doctor - PPT Presentation Summary : unexplained infertility. planning assisted reproduction. ... Metabolic causes of infertility, other than in severely ill individuals, are rare. As the amount of adipose tissue increases, there is more aromatase available to convert androgens, and serum estradiol levels increase. The doctor or WHNP may also be able to suggest lifestyle changes to increase the chances of conceiving.[65] Women over the age of 35 should see their physician or WHNP after six months as fertility tests can take some time to complete, and age may affect the treatment options that are open in that case. In most cases, only 1 follicle is recruited and develops until ovulation.