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8 Counseling on lifestyle modifications is reasonable because exposures to tobacco and alcohol are associated with lower rates of fertility. Improvement in the sperm count is a good sign, and the treatment should be continued. Infectious, anatomic, metabolic, and functional problems associated with infertility are seen less frequently. (Also see Infertility.) The only confirmed infectious cause of infertility in the bitch is brucellosis (see Brucellosis in Dogs). Microsurgery for Vasectomy Reversal and Vasoepididymostomy. (PDF, 13 MB) Urology, 1984.

The corollary to this is that, by definition, failure to conceive in women under 35 isn't regarded with the same urgency as it is in those over 35. First Fallopian Tube-Ovary Transplant Carried Out. (PDF, 2 MB) Welcome Trends in Ob/Gyn, 1985. It is a new opportunity, not only for partners with lack of gamets, but also for homosexuals and single people who wants to have offspring. Ultrasound: This may reveal issues such as ejaculatory duct obstruction or retrograde ejaculation.

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Female age of 35 years or older: For unclear reasons, egg numbers decrease at a rapid rate as women age. Abundant Gene Conversion Between Arms of Palindromes in Human and Ape Y Chromosomes. (PDF, 340 KB)Nature, 2003. Coutifaris C, Myers ER, Guzick DS, et al.; NICHD National Cooperative Reproductive Medicine Network. A failure of GnRH neurons to migrate to the proper location in the hypothalamus has been implicated. Debate over whether health insurance companies (e.g. in the US) should be required to cover infertility treatment.

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There is no reliable treatment, although microsurgery may be attempted. If the RSAT is negative, the bitch is presumed to be Brucella-free; if positive, further confirmatory laboratory testing is indicated (eg, AGID, PCR, 2-mercapto-ethanol RSAT). If an endocrinopathy, such as hyperprolactinemia, is diagnosed, the underlying cause should be treated. Ovulation disorders can be due to: Premature ovarian failure: The ovaries stop working before the age of 40 years.

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In GIFT, the sperm and eggs are mixed together before a doctor inserts them. Article Sections Infertility is defined as the inability to achieve pregnancy after one year of regular, unprotected intercourse. Enzymatic Digestion of Testicular Tissue May Rescue the Intracytoplasmic Sperm Injection Cycle in Some Patients with Non-obstructive Azoospermia. (PDF, 66 KB) Human Reproduction, 1998. Pro-life opposition to the destruction of embryos not transferred in vivo. The Effect of Female Age and Ovarian Reserve on Pregnancy Rate in Male Infertility: Treatment of Azoospermia with Sperm Retrieval and Intracytoplasmic Sperm Injection. (PDF, 66 KB) Human Reproduction, 1997. Opinion: Microsurgical TESE and the Distribution of Spermatogenesis in Non-obstructive Azoospermia. (PDF, 5 MB)Human Reproduction, 2000.