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Immediate surgery is needed and, sadly, the tube on that side will be lost. Its use is controversial in patients with a history of breast cancer. A woman of reproductive age who has not conceived after 1 year of unprotected vaginal sexual intercourse, in the absence of any known cause of infertility.

Histologic endometrial dating is not considered reliable nor is it predictive of fertility. A Modern Approach to Male Infertility. (PDF, 2 MB) Serono Symposia, Insights Into Infertility Newsletter, 1997. Reversal of Vasectomy and the Treatment of Male Infertility. (PDF, 4 MB) Journal of Andrology, 1980.

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Microscopic Vasovasostomy and Spermatogenesis. (PDF, 1 MB) The Journal of Urology, 1977. Varicoceles are repaired with surgery to block off the abnormal veins.

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Medication. If you have ovulation problems, you may be prescribed drugs such as clomiphene citrate (Clomid, Serophene), gonadotropins (such as Gonal-F, Follistim, Humegon and Pregnyl), or letrozole. There may be testicular malformations, hormone imbalance, or blockage of the man's duct system. Problems in the uterus or fallopian tubes can prevent the egg from traveling from the ovary to the uterus, or womb. If your cycles are infrequent or irregular, your doctor will examine you and perform the appropriate testing to discover which problem you may have and present the appropriate treatment options. Judaism and Repoductive Technology. (PDF, 160 KB) 2003.

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Abnormal semen may not be able to carry the sperm effectively. After stimulation, the physician surgically extracts one or more eggs from the ovary, and unites them with sperm in a laboratory setting, with the intent of producing one or more embryos. That is why a continuous sonographic control and also lab-medical controls are made. Cervical stenosis (a narrowed cervix) or the lack of cervical mucus often make it harder for sperm to travel through the cervix into the uterus. But a woman whose cycles vary so greatly that she can’t even begin to estimate when her period might arrive is experiencing irregular periods. Men who are underweight tend to have lower sperm concentrations than those who are at a normal BMI. The most commonly prescribed pill to stimulate ovulation (generally of one mature egg) is clomiphene citrate. Exercise: Both too much and too little exercise can lead to fertility problems. No Differences in Outcome after Intracytoplasmic Sperm Injection with Fresh or with Frozen-thawed Epididymal Spermatozoa. (PDF, 66 KB) Human Reproduction, 1999.