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Hypospadias: The urethral opening is under the penis, instead of its tip. Terra Cotta Ave (Rte 176) Suite 118 Crystal Lake, IL 60014 Phone: (815) 356-1818 Fax: (815) 356-1866 TESTIMONIALS I am so grateful for Advanced Fertility Center. An estimated 28% of all couples seeking reproductive assistance may have normal findings on their clinical evaluation, making the unexplained infertility a more common provisional diagnosis. Tumors Cancers and nonmalignant tumors can affect the male reproductive organs directly, through the glands that release hormones related to reproduction, such as the pituitary gland, or through unknown causes. Retrograde ejaculation: Sperm can be taken directly from the bladder and injected into an egg in the laboratory.

Severe ovarian hyperstimulation syndrome is characterized by easily palpable ovaries, severe ascites, nausea, vomiting, diarrhea, shortness of breath, hydrothorax, peripheral edema, oliguria, hemoconcentration (eg, hematocrit level >48% and hemoglobin level >16 g), and creatinine level greater than 1. Obesity and increased risk for oligozoospermia and azoospermia. Physical examination reveals gynecomastia, small testis, and eunuchoid body habitus due to delayed puberty. Nonliquefication of the semen can be differentiated from benign hyperviscosity by a normal postcoital test finding.

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Factors like stress or heavy workouts can cause your period to temporarily disappear. Calcification of the Seminal Vesicles and Vas Deferens in a Uremic Patient. (PDF, 3 MB) The Journal of Urology, 1971. As there is surplus medical information everyday that can not be cached by healthcare providers, clinical guidelines created to endorse up-to-date evidence-based practice to improve patients' outcome [6]. Usually, one incision is placed near the navel and a second near the pubic hairline. 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. Those with isolated right-sided varicoceles should be evaluated for retroperitoneal pathology.

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It is possible that this mechanism evolved to protect the mother’s health. The majority of men with varicocele present no symptoms.

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Septate uterus The hypothesis that a uterine septum can cause infertility is controversial. The facilities available and the skills of personnel are the major determining factors for the success rate. Thus women whose pregnancy spontaneously miscarries, or whose pregnancy results in a still born child, without ever having had a live birth would present with primarily infertility. (Trends in prevalence4). To Transplant or Not to Transplant – That Is the Question. (PDF, 3 MB) 2010. When one year of sexual relationships without birth control measures has not lead to a pregnancy. Medications Testosterone replacement therapy, long-term anabolic steroid use, cancer medications (chemotherapy), certain antifungal medications, some ulcer drugs and certain other medications can impair sperm production and decrease male fertility. The NICE guidance has more about unexplained infertility. Cervical factors are also thought to play a minor role, although they are rarely the sole cause. Because of the antiestrogenic effect, CC may thicken the cervical mucus, creating an iatrogenic cervical factor that can be responsible for the lack of pregnancy in a patient who has otherwise ovulated. [165] Other adverse effects associated with CC are hot flashes, scotomas, dryness of the vagina, headache, and ovarian hyperstimulation, which, although rare, has been reported in patients who are sensitive to CC. [166, 167] Whether the use of CC increases the risk of ovarian cancer is unknown, although 2 articles illustrate a potential risk. [168] Other authorities disagree with this assumption. Blockage of the ejaculatory duct: Sperm can be extracted directly from the testicles and injected into an egg in the laboratory. The Fate of Non-absorbable Intraureteral Suture. (PDF, 233 KB) The Journal of Urology, 1973.