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The vas is divided into the convoluted, scrotal, inguinal, retroperitoneal, and ampullary regions and receives its blood supply from the inferior vesical artery. Treatment of tubal obstruction generally requires referral for subspecialty care. A Modern View of Male Infertility. (PDF, 7 MB) From The Infertile Male: Advanced Assisted Reproductive Technology, 1994.

Successful Autotransplantation of an Intra-abdominal Testis to the Scrotum by Microvascular Technique. (PDF, 11 MB) The Journal of Urology, 1976. 6 Accuracy may be improved by use on midday or evening urine specimens, which correlate better with the peak in serum luteinizing hormone levels. Surgical Management of Male Infertility. (PDF, 2 MB) Chapter 12 from textbook, Male Infertility, 1992. Stem cell therapy[edit] Nowadays, there are several treatments (still in experimentation) related with stem cell therapy. Clinical diagnostic testing for the cytogenetic and molecular causes of male infertility: the Mayo Clinic experience.

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Primary infertility is when a couple has not conceived after trying for at least 12 months without using birth control Secondary infertility is when they have previously conceived but are no longer able to. Reduced fecundability in women with prenatal exposure to cigarette smoking.

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The Treatment of Azoospermia with Surgery and ICSI. (PDF, 4 MB) Chapter 10 from Male Fertility & Infertility, 1998. The Treatment of Azoospermia with Surgery and ICSI. (PDF, 4 MB) Chapter 10 from Male Fertility & Infertility, 1998. 8 Evaluation of Men Jump to section + Causes of male infertility include infection, injury, toxin exposures, anatomic variances, chromosomal abnormalities, systemic diseases, and sperm antibodies. 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.

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Intracytoplasmic Sperm Injection and Infertility. (PDF, 53 KB) Nature Genetics, 2001. This method takes several weeks and daily hormone injections are needed to ensure successful implantation. Depending on the therapeutic agent and the duration of treatment, endometriosis can be treated with oral contraceptives, progestins, androgens, or GnRH agonists. The Leydig cells in the testicles control the LH, and the cells build androgens. These time intervals would seem to be reversed; this is an area where public policy trumps science. Renal Transplantation Between Adults and Children. (PDF, 1 MB) Journal of the American Medical Association, 1974. The rising number of obese individuals may be due in part to an energy-rich diet as well as insufficient physical exercise.  In addition to other potential health risks, obesity can have a significant impact on male and female fertility. American Urological Association Education and Research, Inc. Government, the Department of Defense, or the Department of the Air Force. Sterility is classified into two groups, primary and secondary.