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Quantitative Evaluation of Spermatogenesis by Testicular Histology in Men with Congenital Absence of the Vas Deferens Undergoing Epididymal Sperm Aspiration. (PDF, 3 MB) Human Reproduction, 1990. Bensdorp AJ, Cohlen BJ, Heineman MJ, Vandekerckhove P.

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. Risk factors for the formation of antisperm antibodies in men include the breakdown of the blood‑testis barrier, trauma and surgery, orchitis, varicocele, infections, prostatitis, testicular cancer, failure of immunosuppression and unprotected receptive anal or oral sex with men.[23][24] Sexually transmitted infections[edit] Infections with the following sexually transmitted pathogens have a negative effect on fertility: Chlamydia trachomatis and Neisseria gonorrhoeae. Moderate alcohol consumption has not been shown to lower fertility in most men, but it may affect those who already have a low sperm count.

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The testes are at risk for both thermal and physical trauma because of their exposed position. After their release from the Sertoli cells into the lumen of the seminiferous tubules, the spermatids successively pass through the tubuli recti, rete testis, ductuli efferentes, and, finally, the epididymis (see image below). A specimen is collected by masturbation into a clean, dry, sterile container or during coitus using special condoms (containing no spermicidal lubricants).

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Infertility tests for women A woman will undergo a general physical examination, and the doctor will ask about her medical history, medications, menstruation cycle, and sexual habits. In some cases, the cause of infertility or subfertility could not be suspected from the history taking and clinical examination. Microsurgical Aspects of Varicocele. (PDF, 9 MB) Fertility and Sterility, 1979.

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Egg donation. This can help you if you have ovaries that don't work right but you have a normal uterus. Metformin (Glucophage): If Clomifene is not effective, metformin may help women with PCOS, especially when linked to insulin resistance. Exposure to chemicals: Pesticides, for example, may increase the risk. The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. The menopause is premature when it occurs before 40 years of age. Women in group III can conceive only with oocyte donation and in vitro fertilization. Peritubaric adhesions can be caused by endometriosis. If a deficit of greater than 1 L is recorded, the procedure should be terminated, and, preferably, the myomectomy should be completed in a second hysteroscopic attempt. They can interfere with implantation or block the fallopian tube, preventing sperm from fertilizing the egg. Excess iron from multiple transfusions may get deposited in the pituitary gland and the testis, causing parenchymal damage and both pituitary and testicular insufficiency. Tubal catheterisation or cannulation: - With proximal tubal obstruction, selective salpingography plus tubal catheterisation, or hysteroscopic tubal cannulation, may be treatment options. Fertilizing Capacity of Epididymal and Testicular Sperm using Intracytoplasmic Sperm Injection (ICSI). (PDF, 7 MB)Reproduction, Fertility and Development, 1995. The final third may be due to a combination of both, other factors, or unknown causes.