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Varicocele A varicocele is a swelling of the veins that drain the testicle, which can impact sperm quality. The man is advised not to ejaculate for 2 to 3 days before giving the semen sample for evaluation. The Relationship of Abnormal Semen Values to Pregnancy Outcome. (PDF, 770 KB) Chapter 10 from textbook, 1992.

When Predictions Don’t Predict. (PDF, 549 KB) The Australian and New Zealand Journal of Obstetrics and Gynaecology, 1991. Large polyps or multiple polyps can impact fertility by interfering with the ability of embryo to implant and should be removed.

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GIFT (gamete intrafallopian tube transfer) and ZIFT (zygote intrafallopian transfer).  Like IVF, these procedures involve retrieving an egg, combining it with sperm in a lab, and then transferring it back to your body. There are a wide array of treatments available, each targeting a different cause of infertility, and they include the following: Fertility drugs: These drugs work by stimulating the hormones responsible for the maturing and release of the egg and could help those with ovarian disorders. There may be testicular malformations, hormone imbalance, or blockage of the man's duct system.

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Prolonged estrus may be caused by ovarian cysts that produce estrogen, functional ovarian tumors, or exogenous estrogens (including human transdermal hormone replacement therapy). Blood test: This can assess hormone levels and whether a woman is ovulating.

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They rest on the basement membrane and serve mainly to support, nourish, and protect the developing germ cells and to provide a blood-testis barrier to provide a microenvironment that facilitates spermatogenesis and maintains the germ cells in an immunologically privileged location. Microsurgical Solutions to Male Infertility. (PDF, 2 MB) Contemporary OB/GYN, 2005. But if you haven’t had a period in months, it’s time to get your fertility checked. Assisted conception The following methods are currently available for assisted conception. Thus women whose pregnancy spontaneously miscarries, or whose pregnancy results in a still born child, without ever having had a live birth would present with primarily infertility. (Trends in prevalence4). Spermatid Conception. (PDF, 1 MB) Human Reproduction, 1998.