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The vas deferens carries sperm from the epididymis to the ejaculatory duct and the urethra. A doctor or WHNP takes a medical history and gives a physical examination.

In patients with obstructive azoospermia and normal gonadotropin levels, sperm can be obtained through microsurgical epididymal sperm aspiration or testicular biopsy. [213] Fertilization of the oocytes is performed using IVF/intracytoplasmic sperm injection. Sermondade N, Faure C, Fezeu L, Lévy R, Czernichow S; Obesity-Fertility Collaborative Group. Perspectives on infertility consultations in primary care: a qualitative study.

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ICSI with Epididymal and Testicular Sperm in Azoospermic Men. (PDF, 2 MB) From Treatment of Infertility: The New Frontiers, 1998. This mucus mainly affects the lungs, but males may also have a missing or obstructed vas deferens.

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Sperm are then collected, washed, and added to the eggs in the dish. At least one open tube is required for IUI, and the sperm abnormality cannot be severe otherwise the sperm will not be able to swim to and fertilize the egg. They can also carry out some basic tests on both partners to see if there is an identifiable reason for not having achieved a pregnancy.

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American Urological Association Education and Research, Inc. Distribution of Spermatogenesis in the Testicles of Azoospermic Men: The Presence of Spermatids in the Testes of Men with Germinal Failure. (PDF, 295 KB) Human Reproduction, 1997. ARTICLES FROM THE 1990s Microsurgery, Andrology, and Its Role in IVF. (PDF, 6 MB) Chapter in text book, Advances in Assisted Reproductive Technology, 1990. Although relatively uncommon, eating disorders can negatively affect menstruation, fertility, and maternal and fetal well-being. 6 Accuracy may be improved by use on midday or evening urine specimens, which correlate better with the peak in serum luteinizing hormone levels. They can include: Changes in hair growth Changes in sexual desire Pain, lump, or swelling in the testicles Problems with erections and ejaculation Small, firm testicles   When to See the Doctor If you are under 35 and have been trying to get pregnant without success for a year, see your doctor. In some cases, simply removing the polyp solves infertility.