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The epididymis is a coil-like structure in the testicles which helps store and transport sperm. Full history taking of both partners usually denotes the underlying problem [17-23], (Appendix 1).

The Fate of Non-absorbable Intraureteral Suture. (PDF, 233 KB) The Journal of Urology, 1973. If a weight gain greater than 2 lb occurs, the patient should be evaluated to determine if hospitalization is required. The emotional toll on both partners can affect their relationship. Contents Signs and symptoms[edit] Anovulation is usually associated with specific symptoms. Radiation therapy: If this is aimed near the reproductive organs, it can increase the risk of fertility problems. 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.

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Possible problems could be that the egg is not released at the optimum time for fertilization, that it may not enter the fallopian tube, sperm may not be able to reach the egg, fertilization may fail to occur, transport of the zygote may be disturbed, or implantation fails. Sperm Granuloma and Reversibility of Vasectomy. (PDF, 11 MB) Lancet, 1977.

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Gonadotropin-releasing hormone (GnRH) from the hypothalamus stimulates the release of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) from the pituitary. Hystersalpingography (HSG): Further investigations 17. Investigation of suspected tubal and uterine abnormalities: 2.

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Programming of Ovarian Stimulation with Norethindrone Acetate in IVF/GIFT Cycles. (PDF, 2 MB) Human Reproduction, 1989. ICSI with Epididymal and Testicular Sperm Retrieval. (PDF, 1 MB) Male Sterility and Motility Disorders: Etiological Factors and Treatment, 1998. These may cause abortion, neonatal death, fetal resorption, and apparent infertility. The emotional toll on both partners can affect their relationship. Silent Sorority: A Barren Woman Gets Busy, Angry, Lost and Found.I was 26 years old when I was first diagnosed with infertility. Human menopausal gonadotropin, or hMG (Repronex): This contains both FSH and LH. Assisted Reproductive Technology: Using Ejaculated, Fresh, and Frozen-thawed Epididymal and Testicular Spermatozoa Gives Rise to Comparable Results after Intracytoplasmic Sperm Injection. (PDF, 5 MB) Fertility and Sterility, 1995. Women with anovulation may be treated in the primary care setting with clomiphene to induce ovulation. Gonadotropin releasing hormone analogs (GnRH-a) are synthetic peptides whose structure is similar to the natural GnRH. Some physical effects may also result from treatment. Mittelschmerz and premenstrual symptoms tend to be absent or reduced when a woman is anovulatory. 8 Intrauterine insemination and ovulation induction do not result in increased pregnancy rates in women with unexplained infertility. One type of ovulation problem, polycystic ovarian syndrome, is effectively treated with medications.