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Laboratory studies have suggested that long-term acetaminophen use during pregnancy may affect fertility in males by lowering testosterone production. Ovulation induction agents increase the risk of multiple pregnancy, ovarian hyperstimulation syndrome, and thrombosis, and they may increase the risk of ovarian cancer in women who remain nulliparous. Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989.

Other factors that can affect a woman's chances of conceiving include being overweight or underweight,[56] or her age as female fertility declines after the age of 30.[57] Sometimes it can be a combination of factors, and sometimes a clear cause is never established. If it stays in there, complications can develop, such as the rupture of the fallopian tube.

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8,45 Figure 1 provides an algorithmic approach to the evaluation of infertility.   Enlarge      Print Infertility Evaluation Figure 1. It may also prevent the sperm from reaching the egg. This procedure is done by ultrasound guidance when the surgeon utilizes a narrow needle to retrieve eggs from the ovary through the vaginal wall.

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However, future pregnancy is possible with the other ovary and tube. Follicular puncture Embryo transfer Ovarian stimulation Postcoital test In-vitro cultivation 3. Microscopic Vasoepididymostomy: Specific Microanastomosis to the Epididymal Tubule. (PDF, 15 MB) Fertility and Sterility, 1978. Poor egg quality: Eggs that are damaged or develop genetic abnormalities cannot sustain a pregnancy. There is a consistent association of Mycoplasma genitalium infection and female reproductive tract syndromes.

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Surgical procedure to conserve the uterus for future pregnancy in patients suffering from massive adenomyosis.(PDF, 958 KB) Reproductive BioMedicine Online, 2010. However, there are side effects to using fertility drugs, such as ovarian hyperstimulation or the increased chance of developing ovarian tumors.  Surgical procedures: These surgeries correct abnormalities or blockages in the uterus and fallopian tubes. Ultrasound can detect uterine abnormalities such as fibroids and polyps, distal fallopian tube occlusion, and ovarian abnormalities including ovarian cysts. Oligospermia is defined as fewer than 20 million sperm/mL, severe oligospermia is less than 5 million/mL, and azoospermia is defined as no sperm present. A smaller amount may suggest a structural or hormonal problem leading to deficient semen production; 2) sperm concentration – normal concentration should be at least 20 million sperm per 1 ml of semen. Hofherr SE, Wiktor AE, Kipp BR, Dawson DB, Van Dyke DL. Instruments can be introduced through the hysteroscope, allowing the surgeon to remove or correct any anatomic abnormalities. In men who have the necessary reproductive organs to procreate, infertility can be caused by low sperm count due to endocrine problems, drugs, radiation, or infection. Mannitol Induced Central Nervous System Toxicity in Renal Failure. (PDF, 4 MB) Investigative Urology, 1972. Editorial: The Cure and Proliferation of Male Infertility. (PDF, 2 MB) The Journal of Urology, 1998. Surgical treatment Surgical treatment should be directed at destroying the disease using electrocoagulation, laser vaporization, endocoagulation, or excision. [84] Removal of endometriomas and lysis of adhesions complete the treatment.