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Bensdorp AJ, Cohlen BJ, Heineman MJ, Vandekerckhove P. Varicocele A varicocele is a swelling of the veins that drain the testicle, which can impact sperm quality.

IVF was a major breakthrough because it allowed for successful pregnancies in women that were previous deemed permanently infertile, such as when the fallopian tubes are both markedly damaged. Partners may become more anxious to conceive, increasing sexual dysfunction.[17] Marital discord often develops, especially when they are under pressure to make medical decisions. Nonliquefication of the semen can be differentiated from benign hyperviscosity by a normal postcoital test finding. The epididymis is a 3- to 4-cm long structure with a tubular length of 4-5 m. 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. Clinical Characterization of 42 Oligospermic or Azoospermic Men with Microdeletion of the AZFc Region of the Y Chromosome, and of 18 Children Conceived via ICSI. (PDF, 606 KB) Human Reproduction, 2002.

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This process has revolutionized assisted reproductive technology and the way reproductive endocrinologists can help people in having a baby. Infertility tests for women A woman will undergo a general physical examination, and the doctor will ask about her medical history, medications, menstruation cycle, and sexual habits. Broekmans FJ, Kwee J, Hendriks DJ, Mol BW, Lambalk CB. This combination of laboratory test results may indicate ovarian insufficiency or diminished ovarian reserve. In some cases, the reproductive urologist can improve semen function by recommending certain lifestyle changes, by hormonal treatments, or by surgery. Before performing a tubocornual anastomosis, the patient should have a diagnostic laparoscopy associated with tubal cannulation by hysteroscopy. [139, 140, 141] If one tube remains open, anastomosis is not needed because pregnancy can be achieved in 50% of cases.

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London, United Kingdom: National Institute for Health and Clinical Excellence (NICE); February 2013:1–63. (Clinical guideline no. Tests and trials are available, but testing does not always reveal a specific cause.

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Testis Biopsy and the Infertile Male. (PDF, 20 MB) Chapter 15 from textbook Office Andrology, 2005. It binds in a part of the brain called the hypothalamus, which is essential in stimulating the ovary to grow and release an egg. Medical conditions Some medical conditions can affect fertility. A defect in any of these sperm structures may result in infertility that will not be detected by semen analysis.[60] Antisperm antibodies cause immune infertility.[23][24] Cystic fibrosis can lead to infertility in men. Immunological testing has not been proven to have any value in infertility patients without a history of 2 or more miscarriages. 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.