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Microscopic Vasectomy Reversal 30 Years Later: A Summary of 4010 Cases by the Same Surgeon. (PDF, 295 KB)Journal of Andrology, 2004. This abnormality is usually surgically corrected in infancy. The night before the procedure, the patient must take 2 tablespoons of sodium bicarbonate. Bensdorp AJ, Cohlen BJ, Heineman MJ, Vandekerckhove P. The patient should be prescribed high-dose estradiol (5 mg qd for 21 d) followed by medroxyprogesterone (10 mg for 10 d).

Testis Biopsy and the Infertile Male. (PDF, 20 MB) Chapter 15 from textbook Office Andrology, 2005. It can either be used to inspect and diagnose certain conditions or to surgically correct an abnormality such as removing scar tissue, endometriosis, or a damaged fallopian tube.

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Aetiology of Congenital Absence of Vas Deferens: Genetic Study of Three Generations. (PDF, 4 MB) Human Reproduction, 1993. Other causes may include: Genetic factors: A man should have an X and Y chromosome. Injuries to the bowel can cause a delayed peritonitis. Moderate alcohol consumption has not been shown to lower fertility in most men, but it may affect those who already have a low sperm count. One of the best known is the HFEA – The UK's regulator for fertility treatment and embryo research.

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This difference is not merely conceptual since the studies carried out in order to understand the causes and the treatment given in both cases are totally different. Because ovarian hyperstimulation syndrome does not occur, the patient's response is slow.

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Possible problems could be that the egg is not released at the optimum time for fertilization, that it may not enter the fallopian tube, sperm may not be able to reach the egg, fertilization may fail to occur, transport of the zygote may be disturbed, or implantation fails. 8–16 One retrospective case-control study of 650 men with infertility and 698 control participants questioned the role of environmental risk; no association could be determined after assessing for multiple factors including shift work, stress, and pesticides. Genetic tests can identify specific obstacles to fertility and problems with sperm. Broekmans FJ, Kwee J, Hendriks DJ, Mol BW, Lambalk CB. It has been proven useful in overcoming infertility conditions, such as blocked or damaged tubes, endometriosis, repeated IUI failure, unexplained infertility, poor ovarian reserve, poor or even nil sperm count. ICSI with Epididymal and Testicular Sperm Retrieval. (PDF, 1 MB) Male Sterility and Motility Disorders: Etiological Factors and Treatment, 1998. 389 KB ARTICLES FROM THE 1980s Microsurgical Reversal of Female Sterilization: The Role of Tubal Length. (PDF, 2 MB) Fertility and Sterility, 1980. Risk factors for the formation of antisperm antibodies in men include the breakdown of the blood‑testis barrier, trauma and surgery, orchitis, varicocele, infections, prostatitis, testicular cancer, failure of immunosuppression and unprotected receptive anal or oral sex with men.[23][24] Sexually transmitted infections[edit] Infections with the following sexually transmitted pathogens have a negative effect on fertility: Chlamydia trachomatis and Neisseria gonorrhoeae. A rapid slide agglutination test (RSAT) kit to detect serum antibodies is commercially available. Basal body temperatures are no longer considered a reliable indicator of ovulation, and are not recommended for evaluating ovulation.