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Assisted Reproductive Technology: Using Ejaculated, Fresh, and Frozen-thawed Epididymal and Testicular Spermatozoa Gives Rise to Comparable Results after Intracytoplasmic Sperm Injection. (PDF, 5 MB) Fertility and Sterility, 1995. Hysterosalpingography: Fluid is injected into the woman's uterus and X-rays are taken to determine whether the fluid travels properly out of the uterus and into the fallopian tubes.

Factors effecting normal expectancy of conception. IVF and related techniques (ICSI, ZIFT, GIFT) are called assisted reproductive technology (ART) techniques. For an appendectomy, the right shoulder can be particularly painful. ART procedures, such as GIFT, IVF, and ICSI, also can be used in cases of male infertility.

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Excess alcohol consumption: This may lower male fertility. The idea is that for women beyond age 35, every month counts and if made to wait another six months to prove the necessity of medical intervention, the problem could become worse.

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Cervical surgery can also sometimes cause scarring or shorten the neck of the womb (the cervix). The Fate of Non-absorbable Intraureteral Suture. (PDF, 233 KB) The Journal of Urology, 1973.

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Panhypopituitafism: Complete pituitary gland failure--lowers growth hormone, thyroid-stimulating hormone, and LH and FSH levels.  Symptoms include:  lethargy, impotence, decreased libido, loss of secondary sex characteristics, and normal or undersized testicles.  Supplementing the missing pituitary hormones may restore vigor and a hormone called hCG may stimulate testosterone and sperm production. Surgery or embolization for varicoceles in subfertile men. Just before those eggs would otherwise be ovulated, they are retrieved under mild anesthesia in an operating room. Ovary Transplantation for Fertility Preservation in Cancer Patients: Fresh and Frozen. (PDF, 1 MB) Chapter 42 from textbook Clinial Infertility, 2010. When the eggs are mature, your doctor collects them with a device called a vaginal ultrasound probe. Sperm or egg donation: If necessary, sperm or eggs can be received from a donor. Other hormones including inhibin B and leptin, may also be affected by obesity. Extra Renal Function in Patients with Duplication Anomaly: Obligatory and Compensatory Renal Growth. (PDF, 1 MB) The Journal of Urology, 1974.