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Intra-uterine insemination for unexplained subfertility. Clinical diagnostic testing for the cytogenetic and molecular causes of male infertility: the Mayo Clinic experience.

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. The basic work-up, or fertility evaluation, includes: Semen analysis of the male partner.

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Diet: A lack of folic acid, iron, zinc, and vitamin B-12 can affect fertility. Diverse Spermatogenic Defects in Humans Caused by Y Chromosome Deletions Encompassing a Novel RNA-binding Protein Gene. (PDF, 2 MB) Human Reproduction, 1996.

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Vasectomy and Vasectomy Reversal. (PDF, 7 MB) Fertility and Sterility, 1978. Infertility Tests History and physical examination – First and foremost, your fertility physician will take a very thorough medical and fertility history.

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Microscopic Technique for Reversal of Vasectomy. (PDF, 3 MB) Surgery, gynecology & obstetrics, 1976. If a woman gets her period every 28 days, ovulation happens about 14 days after she starts her period. To analyze tubal causes of sterility, different methods can be considered. Women older than 35 years or couples with known risk factors for infertility may warrant evaluation at six months. Acquired anestrus may result from previous oophorectomy, exogenous hormonal treatment (including glucocorticoids), profound hypothyroidism, or ovarian disease (cysts or neoplasia). Whether it should be corrected in cases of primary infertility is controversial. Sulfasalazine: This anti-inflammatory drug can significantly lower a man's sperm count. 2012;27(8):2396–2404.   Want to use this article elsewhere? Vasectomy and its Microsurgical Reversal. (PDF, 17 MB) Urologic Clinics of North America, 1978. Negative tests with immotile sperm in the cervical mucus suggest rare immunological causes of sterility. The Strassman metroplasty consists of performing an incision at the fundus of the uterus between both cornual areas and closing the defect with an anteroposterior suture. As the rate of getting spontaneous pregnancy among infertile or subfertile couples is lower than that among normal fertile population, it is recommended to carry out the following diagnostic, evidence-based, work-up to detect any hidden treatable cause. Renal Echinococcus. (PDF, 1 MB) The Journal of Urology, 1972. In addition, if a man’s sperm do not move correctly, they may not be able to meet with and fertilize an egg.