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Once a diagnosis has been made, you and your partner can consider the various treatment options. Difficulties getting pregnant increase from 35 years of age.

Management of the infertile couple: an evidence-based protocol. These may be purchased over the counter and allow couples to predict the most fertile days in the cycle. The cystic fibrosis transmembrane regulator (CFTR) protein plays a role in mesonephric duct development during early fetal life, so these patients may also have urinary tract abnormalities. Infertility in women was ranked the 5th highest serious global disability5&6 (among populations under the age of 60). Microscopic Vasoepididymostomy: Specific Microanastomosis to the Epididymal Tubule. (PDF, 15 MB) Fertility and Sterility, 1978. Diagnosis and Management of Hypogonadism, Infertility, and Impotence. (PDF, 13 MB) Chapter 22 of textbook,Male Reproductive Dysfunction, 1986.

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Varicocele and male factor infertility treatment: a new meta-analysis and review of the role of varicocele repair. This can damage the ovaries or fallopian tubes and cause fertility problems. Pregnancy After Testicular Transplant: Importance of Treating the Couple. (PDF, 5 MB) Fertility and Sterility, 1980. Signs of infertility include irregular, excessively heavy, or absent periods as well as sudden weight gain, painful sex, or vaginal infections. In many cases, there are tests that can help find the cause(s) of male infertility.

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Vitrification of oocytes from endangered Mexican gray wolves (Canis lupus baileyi). (PDF, 319 KB) Theriogenology, 2010. Gerrits T, Shaw M (2010). "Biomedical infertility care in sub-Saharan Africa: a social science review of current practices, experiences and view points".

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It could be related to hormone issues, to endometriosis, or to other underlying conditions that could also be contributing to infertility. Testis Biopsy and the Infertile Male. (PDF, 20 MB) Chapter 15 from textbook Office Andrology, 2005. Metformin (Glucophage): If Clomifene is not effective, metformin may help women with PCOS, especially when linked to insulin resistance. If a woman can get pregnant but keeps having miscarriages or stillbirths, that's also called infertility. Mutations in the Cystic Fibrosis Gene in Patients with Congenital Absence of the Vas Deferens. (PDF, 5 MB) New England Journal of Medicine, 1995. Vasectomy and Vasectomy Reversal. (PDF, 7 MB) Fertility and Sterility, 1978.