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It is more successful in women who have previously been pregnant. In patients with varicocele, there is insufficient evidence to suggest corrective surgery will increase live birth rates, despite improvement in semen analysis results. 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. A Series of Monozygotic Twins Discordant for Ovarian Failure: Ovary Transplantation (Cortical versus Microvascular) and Crypreservation. (PDF, 791 KB) Human Reproduction, 2008. Pregnancy Caused by Sperm from Vasa Efferentia. (PDF, 1 MB) Fertility and Sterility, 1988. Sperm counts can fluctuate, so that several samples may be necessary.

Intracytoplasmic Sperm Injection. (PDF, 4 MB) Chapter 47 from textbook Current Therapy in Equine Reproduction, 2006. 40 Patients using these agents should be counseled about these risks.

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Causes of infertility include male factors, ovulatory dysfunction, uterine abnormalities, tubal obstruction, peritoneal factors, or cervical factors. These and many other questions will help your physician design a specific evaluation and potential treatment for you. Unlike women, whose fertility significantly declines after the age of 35, men’s fertility doesn’t decline until they are much older. Not being able to ovulate because of hormonal imbalance.Fertility Articles – PDF Archive | Infertility Center If you have any questions, you may call us at  (314) 576-1400. It is further sub-divided into primary and secondary sterility.

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The resulting sperm count (also called spermiogram) allows identifying various pathologies. Primary Lymphoma of Kidney. (PDF, 586 KB) The Journal of Urology, 1973.

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The Treatment of Azoospermia with Surgery and ICSI. (PDF, 4 MB) Chapter 10 from Male Fertility & Infertility, 1998. The introduction in 1990 of a laparoscopic clip applier with twenty automatically advancing clips (rather than a single load clip applier that would have to be taken out, reloaded and reintroduced for each clip application) made general surgeons more comfortable with making the leap to laparoscopic cholecystectomies (gall bladder removal). Endometriosis can only be confirmed by surgery, usually laparoscopy. CI or intrauterine insemination is the treatment of choice if more than 2 million sperm are recovered after the sperm wash. (See Treatment of Cervical Factors). [106, 109] Patients whose reproductive tract, FSH, LH, and testosterone levels are determined to be normal or those who have low testosterone in the absence of any other hormonal abnormalities can be treated empirically with cycles of CC (25 mg PO qd for at least 6-12 mo). Intracytoplasmic Sperm Injection. (PDF, 4 MB) Chapter 47 from textbook Current Therapy in Equine Reproduction, 2006. Hormonal analysis Around 3% of cases of male infertility are estimated to be due primarily to a hormonal cause. In-vitro fertilization and donor insemination are major procedures involved. Similarly, there is no need for testing tubal patency for couples who will require IVF or ICSI procedure. Vasoepididymostomy to the Head of the Epididymis: Recovery of Normal Spermatozoal Motility. (PDF, 3 MB)Fertility and Sterility, 1980. Paternal age > or = 40 years: an important risk factor for infertility. Fertility treatments for women Fertility drugs might be prescribed to regulate or induce ovulation. Hyperandrogenemic ovarian insufficiency is characterized by an immoderate production of androgen.