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Varicocele: Surgically removing a varicose vein in the scrotum may help. The most commonly prescribed injections that stimulate the ovary are called gonadotropins. The easiest and most successful treatment is intrauterine insemination (IUI). [104] Similar treatments apply when oligospermia, hypospermia, and ejaculatory disorders such as impotence, hypospadias, or retrograde ejaculation are present. [105, 106, 107] Patients with azoospermia that is not amenable to in vitro fertilization/intracytoplasmic sperm injection treatment benefit from artificial insemination (AI) with donor sperm. [108] Artificial insemination can be performed by depositing the sperm at the cervical level (cervical insemination) [106] or inside the endometrial cavity (intrauterine insemination).

Once confirmed, the male partner is referred to a reproductive urologist, especially if the abnormality is severe. 4) Uterine fibroids: Fibroids are very common (approximately 40% of women may have them) and the mere presence alone does not necessarily cause infertility. Human male infertility, the Y chromosome, and dinosaur extinction. (PDF, 1 MB) Middle East Fertility Society Journal, January 18, 2011.Table of contents Causes in men Causes in women Treatment Types Diagnosis Complications Outlook It may be that one partner cannot contribute to conception, or that a woman is unable to carry a pregnancy to full term.

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A mouse study has suggested that ingredients in some household detergents may reduce fertility. Antibodies that are bound to sperm decrease the sperm’s ability to penetrate the cervical mucus and bind to the zona pellucida.

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Techniques for the Resolution of Testicular Obstruction. (PDF, 8 MB) Chapter 78 from textbook, Reconstructive Urology, 1992. Histologic endometrial dating is not considered reliable nor is it predictive of fertility. Calcification of the Seminal Vesicles and Vas Deferens in a Uremic Patient. (PDF, 3 MB) The Journal of Urology, 1971.

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Problems with any of these steps may lead to infertility.Birth outcomes are compared after elective cryopreservation and delayed transfer versus fresh embryo transfer.Semen analysis The semen analysis is the cornerstone of the male infertility workup. But the question that should be answered one day is: will the output quality be compromised with such approach? 1,2 However, if your partner is 35 years old or over, you or your partner may be considered infertile if you haven’t conceived after 6 months of unprotected sex. Blood test: This can assess hormone levels and whether a woman is ovulating. Evaluation of the Female Partner: Other Tests Other tests to evaluate a woman’s fertility include: Hysterosalpinogram (HSG).