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It can either be used to inspect and diagnose certain conditions or to surgically correct an abnormality such as removing scar tissue, endometriosis, or a damaged fallopian tube. Ejaculatory duct obstruction Complete and partial ejaculatory duct obstruction has been implicated as a cause of 1-5% of patients with male infertility. Mental stress: Stress can be a factor, especially if it leads to reduced sexual activity. An estimated 34 million women, predominantly from developing countries, have infertility which resulted from maternal sepsis and unsafe abortion (long term maternal morbidity resulting in a disability). The Male-specific Region of the Human Y Chromsome is a Mosaic of Discrete Sequence Classes. (PDF, 754 KB) Nature, 2003. Pregnancy After Testicular Transplant: Importance of Treating the Couple. (PDF, 5 MB) Fertility and Sterility, 1980.

Computer-aided semen analysis (CASA) Introduced in the late 1980s, CASA uses a video camera and computer to visualize and analyze sperm concentration and movement. The doctor may ask about the couple's sexual habits and make recommendations regarding these.

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In some couples who have been unable to reproduce, tests fail to find the cause of infertility. Secondary infertility is used to refer to those cases in which miscarriages occur after having had one successful pregnancy.Infertility has traditionally been thought of as a woman's problem. These endometrial cells can extend as far as the outside of the fallopian tubes, the ovaries and the bladder. During emission, sperm are propelled forward by peristalsis.

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Hjollund NH, Storgaard L, Ernst E, Bonde JP, Olsen J. Ejaculation disorders: If the ejaculatory ducts are blocked, semen may be ejaculated into the bladder Hormonal imbalance: Hypogonadism, for example, can lead to a testosterone deficiency. There are four parameters analyzed: 1) semen volume – should be at least 1. Ovulation disorders can be due to: Premature ovarian failure: The ovaries stop working before the age of 40 years. Microscopic Vasovasostomy and Spermatogenesis. (PDF, 1 MB) The Journal of Urology, 1977.

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Excess alcohol consumption: This may lower male fertility. Surgical procedure to conserve the uterus for future pregnancy in patients suffering from massive adenomyosis.(PDF, 958 KB) Reproductive BioMedicine Online, 2010. Therefore we recommend a fertility evaluation if a couple has been attempting pregnancy for 6 months or more when the woman is 35 years of age or older. Patients who do not ovulate because of a fault in the pituitary gland may receive this drug as an injection. Blocked ovaries can start functioning again without a clear medical explanation.