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Microsurgery in Clinical Urology. (PDF, 5 MB) Urology, 1975. The predictive value of hysterosalpingography for tubal and peritoneal infertility factors.

Ultrastructure of Human Sperm in Men with Congenital Absence of the Vas Deferens: Clinical Implications. (PDF, 2 MB) Fertility and Sterility, 1992. The National Institute for Health and Care Excellence (NICE) recommends that women with unexplained infertility who haven't conceived after 2 years of having regular unprotected sex should be offered IVF treatment.

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Infertility and Impaired Fecundity in the United States, 1982-2010: Data from the National Survey of Family Growth. Castration of the affected testis may allow the other testis to regain its ability to produce sperm, but the prognosis is guarded. Causes of Female Infertility The following causes may lead to infertility in women: Pelvic inflammatory disease, which can lead to blocked or damaged fallopian tubes. Calcification of the Seminal Vesicles and Vas Deferens in a Uremic Patient. (PDF, 3 MB) The Journal of Urology, 1971. Some methods may be used in concert with other methods. Environmental vs Genetic Sex Determination: A Possible Factor in Dinosaur Extinction? (PDF, 307 KB) Fertility and Sterility, 2004.

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Ovulation induction in polycystic ovary syndrome [published corrections appear in J Obstet Gynaecol Can. Causes in women Infertility in women can also have a range of causes. The vas deferens carries sperm from the epididymis to the ejaculatory duct and the urethra.

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Exposure to chemicals: Pesticides, for example, may increase the risk. Risk factors Risk factors that increase the risk include: Smoking significantly increases your risk of infertility Age: The ability to conceive starts to fall around the age of 32 years. Varicocele A varicocele is a swelling of the veins that drain the testicle, which can impact sperm quality. 6-Mb Deletion of the Human Y Chromosome Persists Through Balance Between Recurrent Mutation and Haploid Selection. (PDF, 295 KB) Nature Genetics, 2003. For this reason, it’s recommended that couples who’ve been trying to get pregnant for over a year without success seek the advice of a doctor. 8 Involvement in group counseling and exercise is more effective than weight loss advice alone. Web of Science, in-addition to the relevant printed medical journals and periodicals. Isodicentric Y Chromosomes and Sex Disorders as Byproducts of Homologous Recombination that Maintains Palindromes. (PDF, 1 MB) Cell, 2009. These include: age smoking tobacco or marijuana drinking alcohol history of sexually transmitted infections stress poor diet When to see a doctor Anyone experiencing signs of infertility and who has been trying to conceive for more than a year (or 6 months if older than 35 years of age) may want to speak to a doctor for a thorough diagnosis.