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Varicocele A varicocele is a dilation of the veins of the pampiniform plexus of the scrotum. In some cases, your doctor may recommend a procedure known as intracytoplasmic sperm injection (ICSI). Your doctor may suggest that you take gonadotropin if you have unexplained infertility or when other kinds of treatment haven't helped you get pregnant.

Have you had any sexually transmitted infections or abnormal pap smears? Lifestyle and environmental factors such as smoking, alcohol and drugs, poor eating habits, exposure to increases in testicular temperature (for example, in professions where the worker spends many hours sitting down) and exposure to toxins are factors that compromise semen quality. Panhypopituitafism: Complete pituitary gland failure--lowers growth hormone, thyroid-stimulating hormone, and LH and FSH levels.  Symptoms include:  lethargy, impotence, decreased libido, loss of secondary sex characteristics, and normal or undersized testicles.  Supplementing the missing pituitary hormones may restore vigor and a hormone called hCG may stimulate testosterone and sperm production. Normal uterine implantation can therefore not occur. 8) Unexplained/other: Sometimes a full evaluation does not reveal the cause of infertility.

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Treatment of tubal obstruction generally requires referral for subspecialty care. Endometriosis can only be confirmed by surgery, usually laparoscopy. Hysteroscopy is the inspection of the uterine cavity through the cervix by a hysteroscope attached to a camera which projects to a screen. 10 Data Sources: A PubMed search was completed using the key terms infertility, subfertility, treatment, etiology, and diagnosis. The idea is that for women beyond age 35, every month counts and if made to wait another six months to prove the necessity of medical intervention, the problem could become worse. A Physical Map of the Human Y Chromosome. (PDF, 160 KB) Nature, 2001.

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Age: Male fertility starts to fall after 40 years. Ideally, the test should be performed at least twice to confirm results. If endometriosis is found, it can be surgically removed by various methods, and its removal may lead to a decrease in pain as well as improvement in the ability to conceive naturally. Outlook For couples who experience fertility problems and those who wish to have children at an older age, there are more options available than ever before. Lead, toxic fumes and exposure to pesticides are suspected contributors to infertility.

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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. Outcome of Intracytoplasmic Sperm Injection with Testicular Spermatozoa in Obstructive and Non-obstructive Azoospermia. (PDF, 426 KB) Human Reproduction, 1996. 1 Infertility is medically defined as the inability to conceive after 12 months of unprotected sex. Intrauterine insemination (IUI): At the time of ovulation, a fine catheter is inserted through the cervix into the uterus to place a sperm sample directly into the uterus. This was set up on 1 August 1991 following a detailed commission of enquiry led by Mary Warnock in the 1980s A similar model to the HFEA has been adopted by the rest of the countries in the European Union. Some facts about conception and fertility A doctor can give advice and carry out some preliminary assessments. Duration of Fertility after Fresh and Frozen Ovary Transplantation. (PDF, 606 KB) Fertility and Sterility, 2010.