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Diverse Spermatogenic Defects in Humans Caused by Y Chromosome Deletions Encompassing a Novel RNA-binding Protein Gene. (PDF, 7 MB) Nature Genetics, 1995. Epididymal Extravasation Following Vasectomy as a Cause for Failure of Vasectomy Reversal. (PDF, 22 MB)Fertility and Sterility, 1979. Causes in men The following are common causes of infertility in men. The use of Epididymal and Testicular Sperm for ICSI. (PDF, 1 MB) From IX World Congress on In Vitro Fertilization and Alternated Assisted Reproduction, 1995.

Pregnancy After Testicular Transplant: Importance of Treating the Couple. (PDF, 5 MB) Fertility and Sterility, 1980. Editorial: The Cure and Proliferation of Male Infertility. (PDF, 2 MB) The Journal of Urology, 1998. Epididymal Surgery. (PDF, 8 MB) Chapter 8 from textbook, Infertility, 1992. Serum LH determination is more precise, especially when performed in combination with pelvic ultrasonography. Find out more about fertility tests and how problems are diagnosed.Gonadal and sexual functions are mediated by the hypothalamic-pituitary-gonadal axis, a closed-loop system with feedback control from the testicles.

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Intracytoplasmic Sperm Injection Today: A Personal Review. (PDF, 5 MB) Human Reproduction, 1998. The epididymis additionally secretes substances for sperm nutrition and protection such as glycerophosphorylcholine, carnitine, and sialic acid. Following his lecture on laparoscopic appendectomy, the president of the German Surgical Society wrote to the Board of Directors of the German Gynecological Society suggesting suspension of Semm from medical practice. Tubal occlusion A tubal occlusion means there is a blockage in the fallopian tube.

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Hysteroscopy can also be combined with laparoscopy when necessary. Nonchromosomal testicular failure Testicular failure that is nonchromosomal in origin may be idiopathic or acquired by gonadotoxic drugs, radiation, orchitis, trauma, or torsion. Eating disorders: If an eating disorder leads to serious weight loss, fertility problems may arise. In some cases, simply removing the submucosal fibroid solves infertility. Uterine fibroids Fibroids are noncancerous growths in the uterus. According to the Office on Women's Health, about a third of issues with infertility comes from women, and another third starts with men.

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The application of artificial insemination usually is made after previous medicamentous treatment. Endometriosis: Cells that normally occur within the lining of the uterus start growing elsewhere in the body. Outlook For couples who experience fertility problems and those who wish to have children at an older age, there are more options available than ever before. This procedure is performed in the outpatient setting. A specific portion of the androgen receptor gene, exon 1, has been studied in infertile males and a meta-analysis that involved males with idiopathic infertility and fertile controls found that infertility was directly correlated with the length of CAG repeats in this exon.[23] Y chromosome microdeletion syndrome The long arm of the Y chromosome (Yq) is considered critical for fertility, especially Yq11. Biopsy reveals maturation arrest or germ cell aplasia. Have you had any sexually transmitted infections or abnormal pap smears? Obese women have a higher rate of recurrent, early miscarriage compared to non-obese women. Laparoscopic techniques have also been developed in the field of veterinary medicine. Author disclosure: No relevant financial affiliations. Men who are underweight tend to have lower sperm concentrations than those who are at a normal BMI.