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A specimen is collected by masturbation into a clean, dry, sterile container or during coitus using special condoms (containing no spermicidal lubricants). ARTICLES FROM THE 1990s Microsurgery, Andrology, and Its Role in IVF. (PDF, 6 MB) Chapter in text book, Advances in Assisted Reproductive Technology, 1990. Heavy, long, or painful periods Heavy periods may indicate an underlying condition affecting fertility. Some physical effects may also result from treatment. Myoma treatment In general, small and asymptomatic myomas do not require treatment, but the patient should be periodically monitored. Furthermore, an immunological cause in the cervical mucus is possible.

Fertility Evaluation: Obstetric and Gynecological History The obstetric and gynecological history should include: Reproductive history (children, mode of delivery, prematurity, stillbirth, extrauterine pregnancy, spontaneous and induced abortion, fertility and infertility in earlier relationships). Endocrine tests to check concentrations of the hormones testosterone, FSH and LH. Some suggest that the number of times a couple has intercourse should be reduced to increase sperm supply, but this is unlikely to make a difference. Traumatic Renal Hemorrhage Treatment by Arterial Embolization. (PDF, 3 MB) The Journal of Urology, 1973. In some patients, secondary sex characteristics develop normally, but they are usually completed late.

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Genetics of Male Infertility: Evolution of the X and Y Chromosome and Transmission of Male Infertility to Future Generations. (PDF, 10 MB) Chapter 5 from Essential IVF, 2004. Cervical insemination has almost been abandoned because of its low success and has been relegated only to cases in which the sperm count is normal, such as in artificial insemination using donor sperm or if the sample has elevated white cells. In contrast, anovulation usually manifests itself as irregularity of menstrual periods, that is, unpredictable variability of intervals, duration, or bleeding. The success of the procedure is related to the diameter of the hydrosalpinx and to the damage to the cilial epithelium. Absence of the main sperm pipeline known as the vas deferens. Renal Transplantation Between Adults and Children. (PDF, 1 MB) Journal of the American Medical Association, 1974.

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Unfortunately, there are some forms of male infertility that are not treatable. Microscopic Vasovasostomy and Spermatogenesis. (PDF, 1 MB) The Journal of Urology, 1977. Intrauterine insemination (IUI): At the time of ovulation, a fine catheter is inserted through the cervix into the uterus to place a sperm sample directly into the uterus. Unfortunately, there are some forms of male infertility that are not treatable.

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Operative laparoscopy: This technique is indicated for pedunculated and superficial intramural myomas. Intracytoplasmic Sperm Injection. (PDF, 4 MB) Chapter 47 from textbook Current Therapy in Equine Reproduction, 2006. Further reading[edit] Fertility: Assessment and Treatment for People with Fertility Problems. Screening tests include increased plasma 17-hydroxylase and urine 17-ketosteroids. These include: Infrequent menstrual periods: When a woman has regular menstrual periods, defined as regular cycles occurring every 21 to 35 days, this almost always indicates that she ovulates regularly. NIH: National Institute of Child Health and Human Development Start Here Defining Infertility (American Society for Reproductive Medicine) - PDF Infertility (Mayo Foundation for Medical Education and Research) Also in Spanish Infertility and Fertility (National Institute of Child Health and Human Development) Infertility FAQ's (Centers for Disease Control and Prevention) Optimizing Natural Fertility (American Society for Reproductive Medicine) - PDF Also in Spanish Pregnancy Problems? Diagnosis and Management of Hypogonadism, Infertility, and Impotence. (PDF, 13 MB) Chapter 22 of textbook,Male Reproductive Dysfunction, 1986. Medicamentous Induction of Ovulation Ovulation inductors are used for dysfunctions in the hypophyseal-hypothalamic area. Endometriosis: Cells that normally occur within the lining of the uterus start growing elsewhere in the body.