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There is more controversy regarding intramural fibroids, where larger ones may have an impact and may necessitate removal. The more fetuses there are, the higher the risk of premature labor. Effect of metformin on ovulation and reproductive outcomes in women with polycystic ovary syndrome: a meta-analysis of randomized controlled trials.

This whole process hinges on there being proper levels of testosterone and other hormones as well as correct signaling from the nervous system. Basic Work-up for Infertility It is very important to remember that infertility can occur as a result of one or more male or female factors. Hypothyroidism has no effect on male libido or semen quality. Apparent Fertility of Human Spermatozoa from the Caput Epididymidis. (PDF, 4 MB) Journal of Andrology, 1989.

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One of the common causes of infertility is infrequent intercourse. Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989.

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Successful Pregnancy after Microsurgical Transplantation of an Intact Ovary. (PDF, 438 KB) The New England Journal of Medicine, 2008. Changes in sexual desire A man’s fertility is also linked with his hormone health.

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Tubal obstruction due to elective sterilization is better repaired with microsurgery, although the modern tendency is to perform the anastomosis using operative laparoscopy. [33, 143, 144] In either event, knowing in advance what type of tubal ligation technique was used is important. The results of these tests help determine the best fertility treatment. The success of the procedure is related to the diameter of the hydrosalpinx and to the damage to the cilial epithelium. The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. Normal Intrauterine Pregnancy After Reversal of Tubal Sterilization in the Wife and Vasectomy in the Husband.(PDF, 1 MB) Fertility and Sterility, 1978. Techniques for the Resolution of Testicular Obstruction. (PDF, 8 MB) Chapter 78 from textbook, Reconstructive Urology, 1992. 6 Accuracy may be improved by use on midday or evening urine specimens, which correlate better with the peak in serum luteinizing hormone levels. PDF Articles by Decade: 1970s | 1980s | 1990s | 2000s | 2010s ARTICLES FROM THE 1970s Active Lupus Glomerulitis and Hematoxylin Bodies with Normal Urinalysis. (PDF, 5 MB) The Journal of Urology, 1971.