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Testicular Transplantation and Autotransplantation. (PDF, 8 MB) Chapter 22 of textbook, Extracorporeal and Microvascular Surgery, 1982. Radiation therapy: This can impair sperm production. And as aging occurs, egg quality, or the likelihood of an egg being genetically normal, decreases as well. This can make it difficult for the embryo to implant. Because sperm generation time is just over two months, it is recommended to wait three months before repeat sampling. Some authorities believe that ovulation occurs 5 days after the last dose of CC.

When anatomic variance or obstruction is suspected, referral for surgical evaluation and treatment is appropriate. Hormonal abnormalities can sometimes be treated with medicine or surgery. Clomiphene citrate for unexplained subfertility in women. Results of Microsurgical Vasoepididymostomy: Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Human Reproduction, 1989.

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Varicocele: Surgically removing a varicose vein in the scrotum may help. Erectile dysfunction Erectile dysfunction is when a man cannot get or keep an erection (get hard) for sex. 5 IU q5d) until follicle development is detectable based on an elevation of the E2 levels and the presence of follicle development on sonograms.

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Hofherr SE, Wiktor AE, Kipp BR, Dawson DB, Van Dyke DL. Although many of these can be treated through surgery or hormonal substitutions, some may be indefinite.[59] Infertility associated with viable, but immotile sperm may be caused by primary ciliary dyskinesia.

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Electric or vibratory stimulation to achieve ejaculation: Ejaculation is achieved with electric or vibratory stimulation. Prevalence of Premature Ovarian Failure in Monozygotic and Dizygotic Twins. (PDF, 90 KB) Human Reproduction, 2007. Production of the First Offspring from Oocytes Derived from Fresh and Cryopreserved Pre-antral Follicles of Adult Mice. (PDF, 2 MB) Reproductive BioMedicine Online, 2007. Infertility is defined as the inability to become pregnant after 12 months of regular, unprotected intercourse. Ejaculation disorders Ejaculation disorders include premature ejaculation, anejaculation (the failure to ejaculate), and retrograde ejaculation, which is when semen enters the bladder during orgasm instead of coming out the tip of the penis. Assisted hatching: The embryologist opens a small hole in the outer membrane of the embryo, known as the zona pellucid. Before surgery, the HSG films and results of previous laparoscopies should be thoroughly reviewed to decide on the type of surgical technique that is required and to explain to the patient the expected degree of success and risks involved with the procedure. If natural selection is the primary error correction mechanism that prevents random mutations on the Y chromosome, then fertility treatments for men with abnormal sperm (in particular ICSI) only defer the underlying problem to the next male generation. Signs of infertility include irregular, excessively heavy, or absent periods as well as sudden weight gain, painful sex, or vaginal infections.