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To Transplant or Not to Transplant – That Is the Question. (PDF, 3 MB) 2010. Epididymal Surgery. (PDF, 8 MB) Chapter 8 from textbook, Infertility, 1992. Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989. Therefore, we recommend an evaluation if menstrual cycles are infrequent or irregular in a couple attempting pregnancy. In the United States, around 10 percent of women aged 15 to 44 years are estimated to have difficulty conceiving or staying pregnant. Mumps: If this occurs after puberty, inflammation of the testicles may affect sperm production.

Breeding with a proven fertile male must occur at the optimal time for the female. Microsurgery of the Male Genitalia for Infertility. (PDF, 8 MB) Chapter 59 from Reconstructive Urologic Surgery, 1994. There is more controversy regarding intramural fibroids, where larger ones may have an impact and may necessitate removal. 0 Definition of Sterility and Infertility With regard to terminology, infertility has to be distinguished from sterility. Abnormalities may be a sign of a primary hypothalamic, pituitary, or testicular problem.Causes Causes generally can be divided into pretesticular, testicular, and post-testicular. In men, cigarette smoking and alcohol use may cause poor sperm quality, and marijuana use can also be implicated in lower sperm motility and count.

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Opinion: Microsurgical TESE and the Distribution of Spermatogenesis in Non-obstructive Azoospermia. (PDF, 5 MB)Human Reproduction, 2000. About 10% of reproductive age women are affected by endometriosis. Veltman-Verhulst SM, Cohlen BJ, Hughes E, Heineman MJ.

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Congenital Absence of the Vas Deferens: The Fertilizing Capacity of Human Epididymal Sperm. (PDF, 3 MB) New England Journal of Medicine, 1990. Vasectomy Reversal. (PDF, 733 KB) The New England Journal of Medicine, 1977. The main side effects are hot flushes, gastrointestinal events (nausea and vomiting), headache, back pain, and leg cramps.

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Exposure to toxic agents can occur from occupational hazards or contaminated air, water, food supply or other exposures. The medicalization of infertility has unwittingly led to a disregard for the emotional responses that couples experience, which include distress, loss of control, stigmatization, and a disruption in the developmental trajectory of adulthood.[16] Infertility may have psychological effects. There is still some controversy about their existence, but if the discoveries are true, this could mean a new treatment for infertility.[71] Stem cell therapy is really new, and everything is still under investigation. 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. In ZIFT, your doctor places the fertilized eggs -- at this stage called zygotes -- into your fallopian tubes within 24 hours. In OB-GYN residency programs, the average laparoscopy-to-laparotomy quotient (LPQ) is 0. If the E2 level is below 100 pc/mL and the sonogram shows small follicular development, hMG is increased to 150 IU/day for an additional 5 days. The man must be producing healthy sperm in quantities large enough to fertilize an egg cell. Twelve months is the lower reference limit for Time to Pregnancy (TTP) by the World Health Organization.[7] a woman over 35 has not conceived after six months of contraceptive-free sexual intercourse. 2) Medications to induce egg development and ovulation: The medications that help stimulate the ovary to develop mature eggs for ovulation come in two forms: pills taken by mouth and injections. In addition, if a man’s sperm do not move correctly, they may not be able to meet with and fertilize an egg.