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A systematic review of tests predicting ovarian reserve and IVF outcome. Microcirugía y fertilición in vitro para la azoospermia obstructiva. (PDF, 5 MB) Chapter 14 from textbook, Avances en reproducción asistida, 1992. Distribution of Spermatogenesis in the Testicles of Azoospermic Men: The Presence of Spermatids in the Testes of Men with Germinal Failure. (PDF, 295 KB) Human Reproduction, 1997.

The pituitary gland is controlled by the hypothalamus. The hypothalamus, the primary integration center, responds to various signals from the central nervous system (CNS), pituitary gland, and testicles to secrete gonadotropin-releasing hormone (GnRH) in a pulsatile pattern approximately every 70-90 minutes.

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After stimulation, the physician surgically extracts one or more eggs from the ovary, and unites them with sperm in a laboratory setting, with the intent of producing one or more embryos. When it is possible to find the cause, treatments may include medicines, surgery, or assisted reproductive technology. Women with obesity have a lower probability of conceiving and are at a higher risk for issues during pregnancy than those without weight issues. Human chorionic gonadotropin (Ovidrel, Pregnyl): Used together with clomiphene, hMG, and FSH, this can stimulate the follicle to ovulate.

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Idiopathic Hypercalciuria. (PDF, 1 MB) New England Journal of Medicine, 1971. If he has two X chromosomes and one Y chromosome, as in Klinefelter's syndrome, the testicles will develop abnormally and there will be low testosterone and a low sperm count or no sperm. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics. 3) Insemination: Intrauterine insemination, also known as IUI, is a process by which sperm is washed and prepared for placement into the uterine cavity, therefore bypassing the cervix and bringing a higher concentration of motile sperm closer to the tubes and ovulated egg. Men with Infertility Caused by AZFc Deletion can Produce Sons by Intracytoplasmic Sperm Injection, but are Likely to Transmit the Deletion and Infertility. (PDF, 102 KB) Human Reproduction, 1999.

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Patients with azoospermia should have a postejaculatory urine sample analyzed for sperm, should be evaluated for ejaculatory duct obstruction, and should undergo a hormonal evaluation. Ovulation disorders can be treated with ovulation-inducing drugs. Tubal obstruction due to elective sterilization is better repaired with microsurgery, although the modern tendency is to perform the anastomosis using operative laparoscopy. [33, 143, 144] In either event, knowing in advance what type of tubal ligation technique was used is important. Three modalities are used to treat myomas: medical treatment, surgical treatment, and embolization. Problems in the uterus or fallopian tubes can prevent the egg from traveling from the ovary to the uterus, or womb. This allows for the diagnosis and treatment of conditions such as endometriosis with one procedure. Many uterine and tubal abnormalities detected by the HSG can be surgically corrected. The ICSI process takes place following a cycle during which fertility drugs are administered to the female partner to aid in the production of multiple eggs.