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Microscopic Technique for Reversal of Vasectomy. (PDF, 3 MB) Surgery, gynecology & obstetrics, 1976. Gracia CR, Sammel MD, Coutifaris C, Guzick DS, Barnhart KT. Diverse Spermatogenic Defects in Humans Caused by Y Chromosome Deletions Encompassing a Novel RNA-binding Protein Gene. (PDF, 7 MB) Nature Genetics, 1995. These drugs also can also help you get pregnant by causing your ovaries to release multiple eggs. Causes of infertility include male factors, ovulatory dysfunction, uterine abnormalities, tubal obstruction, peritoneal factors, or cervical factors. This technique is called hand-assist laparoscopy.

Cervical surgery can also sometimes cause scarring or shorten the neck of the womb (the cervix). Metabolic causes of infertility, other than in severely ill individuals, are rare. Programming of Ovarian Stimulation with Norethindrone Acetate in IVF/GIFT Cycles. (PDF, 2 MB) Human Reproduction, 1989. Intra-uterine insemination for unexplained subfertility. If a woman needs an HCG injection to activate ovulation and ultrasound scans show that too many follicles have developed, it is possible to withhold the HCG injection. If the sperm do not have the right shape, or they cannot travel rapidly and accurately towards the egg, conception may be difficult.

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Recombination Between Palindromes P5 and P1 on the HUman Y Chromosome Causes Massive Deletions and Spermatogenic Failure. (PDF, 786 KB) The American Journal of Human Genetics, 2002. Infertility and impaired fecundity in the United States, 1982–2010: data from the National Survey of Family Growth. In order to perform ICSI, an egg is held via a small suction pipette, while one sperm is injected into that egg using a very fine glass needle. Secondary infertility When a woman is unable to bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth following either a previous pregnancy or a previous ability to carry a pregnancy to a live birth, she would be classified as having secondary infertility. Chemotherapy: Some types may significantly reduce sperm count. Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989.

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In some cases, the cause of infertility or subfertility could not be suspected from the history taking and clinical examination. The prostate also secretes zinc, phospholipids, phosphatase, and spermine.

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34 Although intrauterine insemination has been shown to be equally effective as timed intercourse in unstimulated cycles, there is a modest increase in live birth rates when combined with ovarian stimulation. Even if you are diagnosed with infertility, you may still be able to conceive.Continued Hysteroscopy . In this procedure, your doctor places a hysteroscope into your uterus through your cervix. One type of ovulation problem, polycystic ovarian syndrome, is effectively treated with medications. Dealing with Fertility Problems After Vasectomy Reversal. (PDF, 7 MB) Contemporary OB/GYN, 1978. Metformin (Glucophage): If Clomifene is not effective, metformin may help women with PCOS, especially when linked to insulin resistance. The rest of the time, it is because of both partners or no cause can be found. In order to perform ICSI, an egg is held via a small suction pipette, while one sperm is injected into that egg using a very fine glass needle.