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Open-ended Vasectomy, Sperm Granuloma, and Postvasectomy Orchialgia. (PDF, 13 MB) Fertility and Sterility, 1979. 8–16 One retrospective case-control study of 650 men with infertility and 698 control participants questioned the role of environmental risk; no association could be determined after assessing for multiple factors including shift work, stress, and pesticides. One of the requirements for this procedure is that a woman should have at least 1 undamaged fallopian tube. 43 Other low-cost methods of monitoring for ovulation, although less effective, include basal body temperature measurements and cervical mucus changes. 75 mg intramuscularly every 4 weeks for a period of up to 6 months. [117, 120, 121, 122] Disadvantages of this treatment include symptoms of menopause, osteoporosis, and recurrence of the myomas after discontinuation of the treatment. These and many other questions will help your physician design a specific evaluation and potential treatment for you.

Your physician will discuss these approaches to having a baby if appropriate to your particular case. Chromosomal causes and, in particular, Klinefelter syndrome. Preliminary Tests of a New Reversible Male Contraceptive in Bush Dog, Speothos Venaticus: Open-ended Vasectomy and Microscopic Reversal. (PDF, 106 KB) Journal of Zoo and Wildlife, 2006. A history and physical examination can help direct the evaluation. 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.

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Additionally, the quality of her eggs also decreases increases the chance of chromosomal abnormalities. One of the best known is the HFEA – The UK's regulator for fertility treatment and embryo research.

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Management of ejaculatory failure: - Can be of great value as in retrograde ejaculation. Effect of male age on fertility: evidence for the decline in male fertility with increasing age.

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Enzymatic Digestion of Testicular Tissue May Rescue the Intracytoplasmic Sperm Injection Cycle in Some Patients with Non-obstructive Azoospermia. (PDF, 66 KB) Human Reproduction, 1998. The most common of these procedures are removal of all or part of the colon (colectomy), or removal of the kidney (nephrectomy). An ultrasound scan can detect an ectopic pregnancy. The following problems are possible: Low sperm count: The man ejaculates a low number of sperm. Removal of polyps by the minimally invasive procedure hysteroscopy is associated with a doubling of pregnancy rate. An Azoospermic Man with a do novo Point Mutation in the Y-chromosome Gene USP9Y. (PDF, 381 KB) Nature Genetics, 1999. Intracytoplasmic Sperm Injection Today: A Personal Review. (PDF, 5 MB) Human Reproduction, 1998. The AZFc Region of the Y Chromosome Features Massive Palindromes and Uniform Recurrent Deletions in Infertile Men. (PDF, 5 MB) Nature Genetics, 2001. Surgeons who choose this hand-assist technique feel it reduces operative time significantly versus the straight laparoscopic approach. American Urological Association Education and Research, Inc. 22 Treatment of Male Infertility Jump to section + Underlying etiology determines the therapeutic course, although male infertility is unexplained in 40% to 50% of cases. It has been suggested that infertility be classified as a form of disability.[22] Causes[edit] Immune infertility[edit] Antisperm antibodies (ASA) have been considered as infertility cause in around 10–30% of infertile couples.[23] In both men and women, ASA production are directed against surface antigens on sperm, which can interfere with sperm motility and transport through the female reproductive tract, inhibiting capacitation and acrosome reaction, impaired fertilization, influence on the implantation process, and impaired growth and development of the embryo.