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This abnormality is usually surgically corrected in infancy. 8 Intrauterine insemination and ovulation induction do not result in increased pregnancy rates in women with unexplained infertility. Clinical diagnostic testing for the cytogenetic and molecular causes of male infertility: the Mayo Clinic experience. In a move that dramatically changes the definition of infertility, the WHO will declare that it should no longer be regarded as simply a medical condition. Practice Committee of the American Society for Reproductive Medicine. ICSI with Epididymal and Testicular Sperm Retrieval. (PDF, 1 MB) Male Sterility and Motility Disorders: Etiological Factors and Treatment, 1998.

Abdominal myomectomy is a surgical procedure performed through a very low horizontal abdominal incision allowing access to the uterus for removal of fibroids. Kidney Transplantation in Inbred Rats. (PDF, 6 MB) The American Journal of Surgery, 1973.

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Exercise: Both too much and too little exercise can lead to fertility problems. Also, parotitis o mumps associated with male infertility when it happens during adolescence.

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Therefore we recommend a fertility evaluation if a couple has been attempting pregnancy for 6 months or more when the woman is 35 years of age or older. Ultrasound can detect uterine abnormalities such as fibroids and polyps, distal fallopian tube occlusion, and ovarian abnormalities including ovarian cysts. Teratozoospermia is when there are a large number of sperms with abnormal morphology. Counseling about options should be offered to couples who are not physically able to conceive (i.e., same-sex couples or persons lacking reproductive organs).

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Aetiology of Congenital Absence of Vas Deferens: Genetic Study of Three Generations. (PDF, 4 MB) Human Reproduction, 1993. Careful monitoring during treatment and pregnancy can help reduce the risk of complications. RE: The Impalpable Testis: A Rational Approach to Management. (PDF, 389 KB) The Journal of Urology, 1979. 6,8 It is important for primary care physicians to be familiar with the workup and prognosis for infertile couples. Passive smoking has also been linked to lower fertility. 43 Other low-cost methods of monitoring for ovulation, although less effective, include basal body temperature measurements and cervical mucus changes.