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Surgical Management of Male Infertility. (PDF, 2 MB) Chapter 12 from textbook, Male Infertility, 1992. Causes It is estimated that infertility affects 1 in 7 heterosexual couples in the UK. In about 40% of cases disorders are found in both the man and the woman. Microsurgery and Andrology. (PDF, 5 MB) Chapter from textbook, 1991. The Three-kidney Rat Model. (PDF, 2 MB) Investigative Urology, 1974. Renal Transplantation Between Adults and Children. (PDF, 1 MB) Journal of the American Medical Association, 1974.

16. Investigation of suspected tubal and uterine abnormalities: 1. However, these tests have only poor to moderate predictive value despite widespread use. 6 The initial history should cover menstrual history, timing and frequency of intercourse, previous use of contraception, previous pregnancies and outcomes, pelvic infections, medication use, occupational exposures, substance abuse, alcohol intake, tobacco use, and previous surgery on reproductive organs. 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. Success rates for induction of ovulation vary considerably and depend on the age of the woman, the type of medication used, the presence of other infertility factors present in the couple and other reasons. Heavy, long, or painful periods Heavy periods may indicate an underlying condition affecting fertility.

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Excess iron from multiple transfusions may get deposited in the pituitary gland and the testis, causing parenchymal damage and both pituitary and testicular insufficiency. The main reasons for fertility tourism are legal regulation of the sought procedure in the home country, or lower price. The treatment of uterine malformations depends on the severity of the problem.

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Hormonal analysis reveals increased gonadotropin levels, while 60% have decreased testosterone levels. Thyroid problems: An overactive or underactive thyroid gland can lead to a hormonal imbalance. Normal cervical mucus to allow passage of the sperm to the upper genital tract. Uterine fibroid embolization (UFE) consists of catheterization of the uterine artery and the injection of microbeads of polyvinyl alcohol to selectively occlude the circulation of the fibroid. According to the literature survey, the most common causes of infertility are: male factor [5,7-9,13-15] such as sperm abnormalities [9,13,15], female factor [7-9,14-16] such as ovulation dysfunction [7,8] and tubal pathology [7-9], combined male and female factors [7,9,14,15] and unexplained infertility; where no obvious cause could be detected [7-9]. 7K This app helped me conceive BeaMcCullough I have PCOS and was told I would never have kids.

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A Modern View of Male Infertility. (PDF, 7 MB) From The Infertile Male: Advanced Assisted Reproductive Technology, 1994. WHO categorizes ovulatory disorders into three groups: group I is caused by hypothalamic pituitary failure (10%), group II results from dysfunction of hypothalamic-pituitary-ovarian axis (85%), and group III is caused by ovarian failure (5%). Exposure to some chemicals: Some pesticides, herbicides, metals, such as lead, and solvents have been linked to fertility problems in both men and women. Normal Pregnancies Resulting from Testicular Sperm Extraction and Intracytoplasmic Sperm Injection for Azoospermia Due to Maturation Arrest. (PDF, 6 MB) Fertility and Sterility, 1996. Diagnosis of Sterility An important part of the diagnosis is a detailed anamnesis and the routine gynecologic examination. Experts differ as to when genetic tests should be done. Expectant therapy Expectant therapy should be based on a complete workup with diagnosis of very early stages of the disease (minimal) in patients without clinical symptoms, ie, an incidental finding. [145] A second-look laparoscopy is required for follow-up observation within 6-18 months.