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Gracia CR, Sammel MD, Coutifaris C, Guzick DS, Barnhart KT. Testicular Neoplasm in Father and Son. (PDF, 561 KB) The Journal of Urology, 1972. 1) Advancing maternal age: Historically before the latter 20th century, women were conceiving in their teens and twenties, when age-related abnormalities with the egg were not evident. This mucus mainly affects the lungs, but males may also have a missing or obstructed vas deferens. Torsion: Is a common problem affecting fertility that is caused by a supportive tissue abnormality which allows the testes to twist inside the scrotum which is characterized by extreme swelling.  Torsion pinches the blood vessels that feed the testes shut which causes testicular damage.  If emergency surgery is not performed to untwist the testes, torsion can seriously impair fertility and cause permanent infertility if both testes twist. Patients who do not achieve ovulation after three to six cycles should be referred to an infertility specialist for further treatment.

Microsurgery in Pediatric Urology. (PDF, 13 MB) The National Foundation, 1977. Blocked tubes Sperm travel in tubes from the man’s testes to the penis. An extensive work-up showed Steve was born without the vas deferens, the main sperm pipelines from the testicles. Pregnancy After Testicular Transplant: Importance of Treating the Couple. (PDF, 5 MB) Fertility and Sterility, 1980. Patients with this type of uterus can have a normal term pregnancy. Hence the ability to conceive a normal pregnancy decreases from when a woman is in her early 30s into her 40s.

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ARTICLES FROM THE 1990s Microsurgery, Andrology, and Its Role in IVF. (PDF, 6 MB) Chapter in text book, Advances in Assisted Reproductive Technology, 1990. We get information regarding the woman's potential for adequate ovarian stimulation with medications by counting antral follicles. Therefore, we recommend an evaluation if menstrual cycles are infrequent or irregular in a couple attempting pregnancy. Gracia CR, Sammel MD, Coutifaris C, Guzick DS, Barnhart KT. If the fallopian tubes are beyond repair, bilateral salpingectomy with destruction of the cornual area is recommended in preparation for IVF. First, ovarian stimulation takes place; therefore, the patient initially is pre-treated with GnRH-antagonists.

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Intracytoplasmic Sperm Injection Today: A Personal Review. (PDF, 5 MB) Human Reproduction, 1998. 8 Intrauterine insemination and ovulation induction do not result in increased pregnancy rates in women with unexplained infertility. 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. Endometriosis: Cells that normally occur within the lining of the uterus start growing elsewhere in the body. After all, the necessity of reproduction is one of the few things on which both Darwin and the Bible agree.

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Embryo Development after ICSI Using Testicular, Epididymal and Ejaculated Spermatozoa. (PDF, 2 MB) Frontiers in Endocrinology, 1995. Infertility in women was ranked the 5th highest serious global disability5&6 (among populations under the age of 60). Other conditions Various other lesions and diseases, such as CNS tumors, temporal lobe seizures, and many drugs (eg, dopamine antagonists) may interrupt the hypothalamic-pituitary axis at the hypothalamus. Lifetime prevalence of infertility and infertility treatment in the UK: results from a population-based survey of reproduction. Microsurgical Reversal of Tubal Sterilization: Factors Affecting Pregnancy Rate, with Long-term Follow-up. (PDF, 2 MB) Obstetrics & Gynecology, 1984. Structural abnormalities in the uterus: these can affect the cervix or the uterine corpus.  Anomalies can be anatomical (septate uterus, T-shaped uterus, etc.) or pathologies that generate embryo implantation issues or issues with how the pregnancy progresses: polyps, endometritis, Asherman's syndrome - synechiae or adherences of the walls of the uterine cavity - or myomas, a benign tumour that generates anatomical distortion and makes getting pregnant complicated (this is one of the most common pathologies but does not necessarily cause fertility issues). Testicular Sperm Extraction (TESE) and Intracytoplasmic Sperm Injection (ICSI) for Non-obstructive Azoospermia.(PDF, 1 MB) 10th World Congress on In Vitro Fertilization and Assisted Reproduction, 1997. It is a new opportunity, not only for partners with lack of gamets, but also for homosexuals and single people who wants to have offspring.