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Infection and Disease: Mumps, tuberculosis, brucellosis, gonorrhea, typhoid, influenza, smallpox, and syphilis can cause testicular atrophy.  A low sperm count and low sperm motility are indicators of this condition.  Also, elevated FSH levels and other hormonal problems are indicative of testicular damage.  Some STDs like gonorrhea and chlamydia can cause infertility by blocking the epididimis or tubes.  These conditions are usually treated by hormonal replacement therapy and surgery in the case of tubular blockage. Luciano AA, Peluso J, Koch EI, Maier D, Kuslis S, Davison E.

For women, being underweight and having extremely low amounts of body fat are associated with ovarian dysfunction and infertility and they have a higher risk for preterm birth. Vasectomy and its Microsurgical Reversal. (PDF, 17 MB) Urologic Clinics of North America, 1978. Additionally, there is concern that the stress of a strict schedule for intercourse may lead to reduced frequency of intercourse.

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Spermatogonia rest on the basement membrane and contain dense nuclei and prominent nucleoli. Thus those who repeatedly spontaneously miscarry or whose pregnancy results in a stillbirth, or following a previous pregnancy or a previous ability to do so, are then not unable to carry a pregnancy to a live birth would present with secondarily infertile. (Trends in prevalence4).WHO manual for the standardized investigation and diagnosis of the infertile couple This concise 1993 volume proposes a standardized approach to the investigation of infertility. Women with anovulation may be treated in the primary care setting with clomiphene to induce ovulation.

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Coutifaris C, Myers ER, Guzick DS, et al.; NICHD National Cooperative Reproductive Medicine Network. Blood, urine, and imaging tests can be done to discover why you are having trouble getting pregnant. No Differences in Outcome after Intracytoplasmic Sperm Injection with Fresh or with Frozen-thawed Epididymal Spermatozoa. (PDF, 66 KB) Human Reproduction, 1999. In such cases, the vas deferens connecting the testicle and prostate is not formed.

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Existing definitions of infertility lack uniformity, rendering comparisons in prevalence between countries or over time problematic. This technique should be reserved for myomas with a diameter less than 6 cm. [123] Several cases have been reported of uterine rupture during pregnancy because the reconstruction of the uterus after laparoscopic myomectomy was not as good as a myomectomy performed using laparotomy. [124] Operative hysteroscopy: The removal of a submucous fibroid using hysteroscopy should be limited to small fibroids (≤3 cm) with minimal compromise of the myometrium. [81] This is important to decrease the risk of excessive bleeding and to decrease the risk of electrolyte imbalance, water intoxication, and pulmonary edema from excessive intravasation of Hyskon, glycine, or sorbitol used during the procedure. The chance of a live birth following treatment is nearly 50% [25]. Prolonged estrus may be caused by ovarian cysts that produce estrogen, functional ovarian tumors, or exogenous estrogens (including human transdermal hormone replacement therapy). Medical conditions Some medical conditions can affect fertility. CO2 is used because it is common to the human body and can be absorbed by tissue and removed by the respiratory system. This test is based on the fact that the ovaries produce progesterone in the second half of the menstrual cycle after a woman has ovulated. Clomiphene citrate for unexplained subfertility in women.