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Thyroid problems: An overactive or underactive thyroid gland can lead to a hormonal imbalance. Outcome of Intracytoplasmic Sperm Injection with Testicular Spermatozoa in Obstructive and Non-obstructive Azoospermia. (PDF, 426 KB) Human Reproduction, 1996. Fertilization takes place outside the body, and the fertilized egg is reinserted into the woman's reproductive tract, in a procedure called embryo transfer. Endometrial biopsy should be performed only in women with suspected pathology (chronic endometritis or neoplasia). Hyperandrogenemic ovarian insufficiency is characterized by an immoderate production of androgen. Vitrification of oocytes from endangered Mexican gray wolves (Canis lupus baileyi). (PDF, 319 KB) Theriogenology, 2010.

Factors contributing to the formation of antisperm antibodies in women are disturbance of normal immunoregulatory mechanisms, infection, violation of the integrity of the mucous membranes, rape and unprotected oral or anal sex. Hypospadias affects about 1 in every 500 newborn boys. It could be caused by a tumour, taking illegal drugs, or Klinefelter syndrome, a rare syndrome where a man is born with an extra female chromosome. PPT Presentation Summary : Evaluation of Fertility: A Cornerstone to Improved Reproductive Health for Women Overview. The likelihood of fertilization improves significantly for men with low sperm concentrations. Microscopic Vasovasostomy and Spermatogenesis. (PDF, 1 MB) The Journal of Urology, 1977.

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Pregnancy Caused by Sperm from Vasa Efferentia. (PDF, 1 MB) Fertility and Sterility, 1988. Silent Sorority: A Barren Woman Gets Busy, Angry, Lost and Found.Fertility What is Normal Fertility and When Does it Become Infertility?

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18  If the semen analysis result is abnormal, further evaluation is indicated (Table 36–8,10,19,20). High-cost treatments are out of financial reach for some couples. Ejaculation disorders: If the ejaculatory ducts are blocked, semen may be ejaculated into the bladder Hormonal imbalance: Hypogonadism, for example, can lead to a testosterone deficiency. The uterine cavity is distended with a gas or liquid, and the hysteroscope is introduced into the uterine cavity which can then be carefully inspected. Preliminary Tests of a New Reversible Male Contraceptive in Bush Dog, Speothos Venaticus: Open-ended Vasectomy and Microscopic Reversal. (PDF, 106 KB) Journal of Zoo and Wildlife, 2006. Testicular Neoplasm in Father and Son. (PDF, 561 KB) The Journal of Urology, 1972.

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Many more couples, however, experience involuntary childlessness for at least one year: estimates range from 12% to 28%.[4] Male infertility is responsible for 20–30% of infertility cases, while 20–35% are due to female infertility, and 25–40% are due to combined problems in both parts.[2][5] In 10–20% of cases, no cause is found.[5] The most common cause of female infertility is ovulatory problems, which generally manifest themselves by sparse or absent menstrual periods.[6] Male infertility is most commonly due to deficiencies in the semen, and semen quality is used as a surrogate measure of male fecundity.[7] Women who are fertile experience a natural period of fertility before and during ovulation, and they are naturally infertile for the rest of the menstrual cycle. Microscopic Vasovasostomy and Spermatogenesis. (PDF, 1 MB) The Journal of Urology, 1977. They're then stored inside yards of “plumbing” called the epididymis, which lies on top of each testicle. Treatment of Male-factor Infertility. (PDF, 10 MB) Chapter 9 from Progress in Infertility, 1993. Treatment for Infertility 1) Education: We strongly believe that educating our patients about the normal process of fertility, problems that affect fertility, and treatment options will empower our patients to make the best choices. Injuries to the bowel can cause a delayed peritonitis. The fertilized embryo is then transferred to womb. In men who have the necessary reproductive organs to procreate, infertility can be caused by low sperm count due to endocrine problems, drugs, radiation, or infection. Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989. The types of ART include: In Vitro Fertilization (IVF) Gamete Intrafallopian Transfer (GIFT) Zygote Intrafallopian Transfer (ZIFT) Another ART procedure – Intracytoplasmic Sperm Injection (ICSI) – is used mainly in cases of male infertility to treat couples who cannot achieve fertilization due to the male partner’s extremely low number of normal, viable sperm. Taking testosterone, or any over-the-counter androgen like DHEA (for weight training), can harm fertility, says Shaban. “People have had unnecessary surgeries because they forgot to say they were on these medicines,” he warns. Sertoli cells also secrete inhibin, which provides negative feedback on the hypothalamus, and androgen-binding protein, which helps modulate androgen activity in the seminiferous tubules. Bushnik T, Cook JL, Yuzpe AA, Tough S, Collins J.