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Histologically, Leydig cells are polygonal with eosinophilic cytoplasm. 29 When the semen analysis is abnormal, referral to a male fertility specialist or reproductive endocrinologist is warranted. To help objectify sperm morphology and therefore enhance the consistency and reproducibility among laboratories, Kruger introduced a definition of "strict criteria" in 1986. When the magic moment arrives, about 150 million sperm are ejaculated in a half-teaspoon of semen through the penis.

Basal body temperature (BBT) can be used to observe the thermogenic shift (temperature rises 0. Previous sterilization treatment: In women who have chosen to have their fallopian tubes blocked, the process can be reversed, but the chances of becoming fertile again are not high. If they are blocked, it indicates the site of the block.

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It is increasingly recognized that egg quality is of critical importance and women of advanced maternal age have eggs of reduced capacity for normal and successful fertilization. Perspectives on infertility consultations in primary care: a qualitative study.

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Microscopic Technique for Reversal of Vasectomy. (PDF, 3 MB) Surgery, gynecology & obstetrics, 1976. Treatment of Male-factor Infertility. (PDF, 10 MB) Chapter 9 from Progress in Infertility, 1993. VITRIKAS, MD, David Grant Medical Center Family Medicine Residency, Travis Air Force Base, California Am Fam Physician. 2015 Mar 1;91(5):308-314.   Patient information: See related handout on infertility, written by the authors of this article.   Related letter: Natural Procreative Technology for Treating Infertility This clinical content conforms to AAFP criteria for continuing medical education (CME).

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Being obese or overweight: This can increase the risk of infertility in women as well as men. Most often, the problem lies in the process of either making or moving thesperm. Sermondade N, Faure C, Fezeu L, Lévy R, Czernichow S; Obesity-Fertility Collaborative Group. Intracytoplasmatic Sperm Injection (ICSI) An intracytoplasmatic sperm injection is also a form of artificial insemination. Legal, cultural and religious inquiries have limited the available choices in some countries, such as the use of donor sperms or oocytes. 6 mg SC q4wk for 6 months) GnRHa therapy can be administered along with cyclic or continuous progestins or with cyclic or continuous estrogen and progestins in cases of severe hot flashes. [145, 152] Combined therapy Medical and surgical treatments are usually combined for the treatment of severe endometriosis.