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CC is a nonsteroidal estrogen capable of interacting with estrogen receptor–binding proteins in a manner similar to estrogen but in a more prolonged way. [159, 160] Therefore, CC behaves similar to an antiestrogen. An abnormal semen analysis warrants a further evaluation usually by a reproductive urologist. 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. A woman who keeps having miscarriages is also considered infertile.

However, about one in five cases of infertility has no clear diagnosed cause.[73] In Britain, male factor infertility accounts for 25% of infertile couples, while 25% remain unexplained. Couples may decide to go ahead regardless if the desire to become pregnant is very strong. Recovery of Spermatogenesis after Testicle Autotransplantation in an Adult Male. (PDF, 2 MB) Fertility and Sterility, 1982.

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The following hormones can be identified in the blood among others: FSH, LH, estradiol, prolactin, testosterone, DHEA-S and the thyroid hormones. It makes the pituitary gland release more follicle-stimulating hormone (FSH) and luteinizing hormone (LH). Religious leaders' opinions on fertility treatments; for example, the Roman Catholic Church views infertility as a calling to adopt or to use natural treatments (medication, surgery, or cycle charting) and members must reject assisted reproductive technologies. A Series of Monozygotic Twins Discordant for Ovarian Failure: Ovary Transplantation (Cortical versus Microvascular) and Crypreservation. (PDF, 791 KB) Human Reproduction, 2008.

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The 2 techniques are the Strassman metroplasty and the Jones metroplasty. Quantitative Evaluation of Spermatogenesis by Testicular Histology in Men with Congenital Absence of the Vas Deferens Undergoing Epididymal Sperm Aspiration. (PDF, 3 MB) Human Reproduction, 1990. If the egg does not travel, it can be harder to conceive naturally. An abnormal semen analysis warrants a further evaluation usually by a reproductive urologist. Obstructions in the sperm transport plumbing can sometimes be surgically corrected. Low sperm mobility (motility): The sperm cannot "swim" as well as they should to reach the egg.

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Congenital Absence of the Vas Deferens: The Fertilizing Capacity of Human Epididymal Sperm. (PDF, 3 MB) New England Journal of Medicine, 1990. It could be caused by a tumour, taking illegal drugs, or Klinefelter syndrome, a rare syndrome where a man is born with an extra female chromosome. The dynamics of stress in fertile and infertile couples. Controversy exists regarding whether to routinely repair an adolescent varicocele not associated with testicular atrophy. Intracytoplasmic Sperm Injection. (PDF, 4 MB) Chapter 47 from textbook Current Therapy in Equine Reproduction, 2006. Tubal catheterisation or cannulation: - With proximal tubal obstruction, selective salpingography plus tubal catheterisation, or hysteroscopic tubal cannulation, may be treatment options. Several studies have demonstrated that an increase in BMI is correlated with a decrease in sperm concentration, a decrease in motility and an increase DNA damage in sperm. Treatment of Renal Trauma by Angiographic Injection of Autologous Clot. (PDF, 422 KB) British Journal of Urology, 1974. If this is unsuccessful, the decision which form of artificial insemination is going to be used is made individually.