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Laboratory testing – Depending on the results of the evaluation discussed above, your physician may request specific blood tests. Normal Fertilization of Human Oocytes after Testicular Sperm Extraction and Intracytoplasmic Sperm Injection.(PDF, 2 MB) Fertility and Sterility, 1994. What Forms of Male Infertility are there left to Cure? (PDF, 2 MB) Human Reproduction, 1995. Cystic Fibrosis and Infertility Caused by Congenital Bilateral Absence of the Vas Deferens and Related Clinical Entities. (PDF, 2 MB) Human Reproduction, 1996.

Defects of tubules that transport sperm There are many different tubes that carry sperm. The NICE guidance has more about unexplained infertility. The later they are detected, the more complicated having children becomes. Paternal age > or = 40 years: an important risk factor for infertility. Radiation therapy: If this is aimed near the reproductive organs, it can increase the risk of fertility problems. We generally recommend seeking the help of a reproductive endocrinologist if conception has not occurred within 12 months.

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Some personal habits are considered risk factors for infertility, such as excess alcohol intake [11] and cigarette smoking [12]. Women ovulate — send an egg down into the uterus — once a month.

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Ovarian Transplantation between Monozygotic Twins Discordant for Premature Ovarian Failure. (PDF, 315 KB) The New England Journal of Medicine, 2005. In closed social groups, a degree of rejection (or a sense of being rejected by the couple) may cause considerable anxiety and disappointment. Your doctor will analyze your semen analysis carefully and help you decide if ICSI is an appropriate treatment for you.

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A failure of GnRH neurons to migrate to the proper location in the hypothalamus has been implicated. The Prevention of Acute Tubular Necrosis in Renal Transplantation by Chronic Salt Loading of the Recipient. (PDF, 627 KB) ANZ Journal of Surgery, 1974. Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989. In some cases, the reproductive urologist can improve semen function by recommending certain lifestyle changes, by hormonal treatments, or by surgery. Intra-uterine insemination for male subfertility. Source : Preserving your fertility - University of Kansas Hospital PPT Presentation Summary : Preserving your fertility. Transplantation of Rat Kidneys with Acute Tubular Necrosis into Salt-loaded and Normal Recipients. (PDF, 2 MB)Surgery, 1975. The Prevention of Acute Tubular Necrosis in Renal Transplantation by Chronic Salt Loading of the Recipient. (PDF, 627 KB) ANZ Journal of Surgery, 1974. Secondary infertility When a woman is unable to bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth following either a previous pregnancy or a previous ability to carry a pregnancy to a live birth, she would be classified as having secondary infertility. 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%). The Use of Epididymal Sperm in Assisted Reproduction. (PDF, 8 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994.