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Most often, the problem lies in the process of either making or moving thesperm. Recovery of Spermatogenesis after Testicle Autotransplantation in an Adult Male. (PDF, 2 MB) Fertility and Sterility, 1982. When anatomic variance or obstruction is suspected, referral for surgical evaluation and treatment is appropriate.

A Physical Map of the Human Y Chromosome. (PDF, 160 KB) Nature, 2001. Women receiving fertility treatment have a slightly higher risk of an ectopic pregnancy. Ovulation disorders About one quarter of infertility cases are due to ovulation disorders.

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These include reduced pain due to smaller incisions, reduced hemorrhaging and shorter recovery time. This allows for the diagnosis and treatment of conditions such as endometriosis with one procedure. A combination of these factors leads to infertility 20 to 30 percent of the time.

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Where Dreams are Born. (PDF, 2 MB) Jewish Light, 2010. World Health Organization[edit] The World Health Organization defines infertility as follows:[10] United States[edit] One definition of infertility that is frequently used in the United States by reproductive endocrinologists, doctors who specialize in infertility, to consider a couple eligible for treatment is: a woman under 35 has not conceived after 12 months of contraceptive-free intercourse. Several studies have demonstrated that an increase in BMI is correlated with a decrease in sperm concentration, a decrease in motility and an increase DNA damage in sperm. Undescended testicles During fetal development one or both testicles may fail to descend from the abdomen into the sac that normally contains the testicles. 8,45 Figure 1 provides an algorithmic approach to the evaluation of infertility.   Enlarge      Print Infertility Evaluation Figure 1.

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The sperm must provide the zygote with DNA, centrioles, and activation factor for the embryo to develop. Efficacy of laparoscopy is inferior to open surgery in certain conditions such as pyloromyotomy for Infantile hypertrophic pyloric stenosis. Some physical effects may also result from treatment. Factors contributing to the formation of antisperm antibodies in women are disturbance of normal immunoregulatory mechanisms, infection, violation of the integrity of the mucous membranes, rape and unprotected oral or anal sex. Drugs used for both women and men[67] include clomiphene citrate, human menopausal gonadotropin (hMG), follicle-stimulating hormone (FSH), human chorionic gonadotropin (hCG), gonadotropin-releasing hormone (GnRH) analogues, aromatase inhibitors, and metformin. Antisperm antibodies may form when the blood-testis barrier is breached because of infection, vasectomy, testicular torsion, cryptorchidism, or testicular trauma. Prevalence of Premature Ovarian Failure in Monozygotic and Dizygotic Twins. (PDF, 90 KB) Human Reproduction, 2007. Worldwide, 8 to 12 percent of couples experience fertility problems. Chlamydia test: Chlamydia can affect fertility, but antibiotics can treat it. Testis Biopsy and the Infertile Male. (PDF, 20 MB) Chapter 15 from textbook Office Andrology, 2005.