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5) Endometrial polyps: Endometrial polyps are finger-like growths in the uterine cavity arising from the lining of the uterus, called the endometrium, These abnormalities are rarely associated with cancer (<1% in a woman before menopause), but polyps are can decrease fertility by up to 50% according to some studies. The pathophysiology of the disease is not well understood, but a massive extravascular accumulation of fluid occurs that is associated with a severe depletion of the intravascular volume responsible for dehydration, hemoconcentration, and electrolyte imbalance (ie, hyponatremia, hyperkalemia). [193] Ovarian hyperstimulation syndrome can be mild, moderate, or severe. [194] Mild ovarian hyperstimulation syndrome is characterized by ovarian enlargement (up to 5-12 cm in diameter), minimal ascites, and weight gain of less than 10 lb. Surgical sperm aspiration: The sperm is removed from part of the male reproductive tract, such as the vas deferens, testicle, or epididymis. Abnormal semen may not be able to carry the sperm effectively. Oei SG, Helmerhorst FM, Bloemenkamp KW, Hollants FA, Meerpoel DE, Keirse MJ.

The use of Epididymal and Testicular Spermatozoa for Intracytoplasmic Sperm Injection: The Genetic Implications for Male Infertility. (PDF, 8 MB) Human Reproduction, 1995. Testicular Neoplasm in Father and Son. (PDF, 561 KB) The Journal of Urology, 1972. Before anastomosis, evaluate the patient using HSG and laparoscopy findings to measure how far proximal and distal fragments of the fallopian tubes remain from the tubal ligation.

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Seminoma Discovered in Two Males Undergoing Successful Testicular Sperm Extraction for Intracytoplasmic Sperm Injection. (PDF, 807 KB) Human Reproduction, 1995. Intra-uterine insemination for unexplained subfertility. Assessment of efficacy of varicocele repair for male subfertility: a systematic review. Syndromes such as Klinefelter’s syndrome, cystic fibrosis, Kallmann’s syndrome, and Kartagener’s syndrome. 2/7/15 our son was born all thanks to the assistance of Dr. Radiation therapy: If this is aimed near the reproductive organs, it can increase the risk of fertility problems.

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IVF and related techniques (ICSI, ZIFT, GIFT) are called assisted reproductive technology (ART) techniques. The AZFc Region of the Y Chromosome Features Massive Palindromes and Uniform Recurrent Deletions in Infertile Men. (PDF, 5 MB) Nature Genetics, 2001. Start CC at the initial dose of 50 mg/day for 5 days. These sperm show a high level of retained cytoplasmic droplets around the mid piece. Men who are underweight tend to have lower sperm concentrations than those who are at a normal BMI.

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Alternatively, cabergoline can be used orally or vaginally weekly at a starting dose of 0. Oei SG, Helmerhorst FM, Bloemenkamp KW, Hollants FA, Meerpoel DE, Keirse MJ. World Health Organization reference values for human semen characteristics. Debate: Are Spermatid Injections of any Clinical Value? (PDF, 6 MB) Human Reproduction, 1998. Careful monitoring during treatment and pregnancy can help reduce the risk of complications. The good news is that most cases of male infertility can be resolved either by treating the problem or using fertility treatments. You can be a working couple, a working mother or father, a stay at home parent or retired.