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A 3 to 5 days long sexual abstention is absolutely necessary for this. Etiologies include cysts (midline and eccentric), ductal calcification and stones, postinfectious, and postoperative. Laparoscopy for Cryptorchidism. (PDF, 1 MB) The Journal of Urology, 1980. IVF and related techniques (ICSI, ZIFT, GIFT) are called assisted reproductive technology (ART) techniques. Treatment of Hemorrhage from Renal Trauma by Angiographic Injection of Clot. (PDF, 1 MB) The Journal of Urology, 1978.

Having an irregular cycle, including missing periods, can contribute to infertility, as it means a woman may not be regularly ovulating. Bladder neck closure during ejaculation is vital to ensure antegrade ejaculation. The Disappearing Y Chromosome – “I Told You So!” (PDF, 266 KB) Human Reproduction, 1997. For example; a woman who has no history suggestive of previous pelvic inflammatory disease or endometriosis, there is no justification to request a laparoscopy especially after normal hysterosalpingography study [33]. Basic Work-up for Infertility Detailed history and physical examination. Semen analysis. Evidence of ovulation. (Day 2-3 gonadotrophins, Day 21 progesterone) Susceptibility to rubella Cervical smear screening Screening for Chlamydia trachomatis Serum prolactin Thyroid function tests 12. Semen analysis: - semen volume: 1. The AZFc Region of the Y Chromosome Features Massive Palindromes and Uniform Recurrent Deletions in Infertile Men. (PDF, 5 MB) Nature Genetics, 2001.

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Infertility Tests History and physical examination – First and foremost, your fertility physician will take a very thorough medical and fertility history. Povey AC, Clyma JA, McNamee R, et al.; Participating Centres of Chaps-UK. Vasectomy and Vasectomy Reversal. (PDF, 7 MB) Fertility and Sterility, 1978. Causes of this kind of infertility include: Retrograde ejaculation.

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Microsurgical Aspects of Varicocele. (PDF, 9 MB) Fertility and Sterility, 1979. Advances in assisted reproductive technologies, such as IVF, can offer hope to many couples where treatment is available, although barriers exist in terms of medical coverage and affordability. Women in group II include those with polycystic ovary syndrome and hyperprolactinemia. If a woman has an ovulation disorder, she may ovulate infrequently or not all.

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Only active, undamaged sperm are chosen for injections. Transplantation of Rat Kidneys with Acute Tubular Necrosis into Salt-loaded and Normal Recipients. (PDF, 2 MB)Surgery, 1975. They’ll recommend some simple fertility tests, more information about which can be found here. Pregnancy with Sperm Aspiration from the Proximal Head of the Epididymis: A New Treatment for Congenital Absence of the Vas Deferens. (PDF, 2 MB) Fertility and Sterility, 1988. The procedure is done during the premenstrual phase, approximately 12 days after presumed ovulation to see if the endometrium undergoes expected changes. ARTICLES FROM THE 2000s Evaluation and Treatment of Male Infertility. (PDF, 17 MB) Clinical Obstetrics and Gynecology, 2000. The farther from the scrotum, and the longer duration that the testicle resides outside the scrotum, the greater the likelihood of infertility. Male and female factors can exist in isolation or combination and fertility investigations, diagnoses and treatment should always be considered in the context of the couple.       Male factor Sperm problems will contribute to about 40% of infertility cases. Testis Biopsy and the Infertile Male. (PDF, 20 MB) Chapter 15 from textbook Office Andrology, 2005. Primary Lymphoma of Kidney. (PDF, 586 KB) The Journal of Urology, 1973. Further investigations may be requested according to the clinical presentation and the results of preliminary tests. Ovulation disorders appear to be the most common cause of infertility in women. IUI with the partner’s sperm can be used as a potentially effective treatment for infertility in women under age of 45 except for cases with tubal blockage, very poor egg quality, ovarian failure and severe male factor infertility (very low sperm count or very poor sperm shape or mobility).