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The most commonly prescribed pill to stimulate ovulation (generally of one mature egg) is clomiphene citrate. Apparent Fertility of Human Spermatozoa from the Caput Epididymidis. (PDF, 4 MB) Journal of Andrology, 1989.

It is often defined as not conceiving after 12 months of regular sexual intercourse without the use of birth control. Postcoital testing and antisperm antibody testing are no longer considered useful in this evaluation. Quantitative Analysis of Testicle Biopsy: Determination of Partial Obstruction and Prediction of Sperm Count after Surgery for Obstruction. (PDF, 4 MB) Fertility and Sterility, 1981.

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Kennel or cattery management should allow for breeding males to remain cool during the summer. Isolated FSH deficiency This is a very rare cause of infertility.

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National Collaborating Centre for Women's and Children's Health. Pregnancies after Testicular Sperm Extraction and Intracytoplasmic Sperm Injection in Non-obstructive Azoospermia. (PDF, 3 MB) Human Reproduction, 1995. This technique involves an injection of a single healthy sperm directly injected into mature egg. The number of days in between each period varies each month. Ap cells mature into B spermatogonia, which then undergo mitotic division to become primary spermatocytes, which are recognized by their large centrally located nuclei and beaded chromatin. According to ESHRE recommendations, couples with an estimated live birth rate of 40% or higher per year are encouraged to continue aiming for a spontaneous pregnancy.[66] Treatment methods for infertility may be grouped as medical or complementary and alternative treatments.

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The ovulation induction agents used include clomiphene citrate, hMG, hCG, recombinant FSH, and recombinant LH. 0.[44] Environmental factors Toxins such as glues, volatile organic solvents or silicones, physical agents, chemical dusts, and pesticides.[45][46] Tobacco smokers are 60% more likely to be infertile than non-smokers.[47] German scientists have reported that a virus called adeno-associated virus might have a role in male infertility,[48] though it is otherwise not harmful.[49] Other diseases such as chlamydia, and gonorrhea can also cause infertility, due to internal scarring (fallopian tube obstruction).[50][51][52] Alimentary habits[53] Obesity: The obesity epidemic has recently become is a serious issue, particularly in industrialized nations. Environmental vs Genetic Sex Determination: A Possible Factor in Dinosaur Extinction? (PDF, 307 KB) Fertility and Sterility, 2004. If necessary, they refer patients to a fertility clinic or local hospital for more specialized tests. This results in an inability to accurately judge how much force is being applied to tissue as well as a risk of damaging tissue by applying more force than necessary. If this is unsuccessful, the dosage may be increased to 100 mg daily. In addition to a careful history, a physical evaluation may also be performed. Idiopathic Hypercalciuria. (PDF, 1 MB) New England Journal of Medicine, 1971.