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Problems with sperm If a man makes too few sperm or none at all, the woman cannot become pregnant. In-vitro fertilization and donor insemination are major procedures involved.

Cervical insemination has almost been abandoned because of its low success and has been relegated only to cases in which the sperm count is normal, such as in artificial insemination using donor sperm or if the sample has elevated white cells. Clark AM, Thornley B, Tomlinson L, Galletley C, Norman RJ. Debate over whether health insurance companies (e.g. in the US) should be required to cover infertility treatment.

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Endometriosis: Cells that normally occur within the lining of the uterus start growing elsewhere in the body. Judaism and Reproductive Technology. (PDF, 2 MB) 2010. Treatment of Uterine Factors Until in vitro fertilization became available, a patient with congenital absence of the uterus and vagina (Rokitansky-Küster-Hauser syndrome) had no chance to have a biologic child. The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999.

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The interstitium between the seminiferous tubules contains the Leydig cells, fibroblasts, lymphatics, blood vessels, and macrophages. Medical treatment is a temporary treatment, ideally used for patients who are close to menopause or who are risky surgical candidates.

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If oligospermia or azoospermia is noted, hypogonadism should be suspected. Apparently there are only 0,014% of them (this could be an explanation of why they were not discovered until now). About half the women with hormonal imbalances do not produce enough follicles to ensure the development of an ovule, possibly due to poor hormonal secretions from the pituitary gland or the hypothalamus. In 10% of cases, alterations in the chemical signals from the hypothalamus can easily seriously affect the ovaries. Treatment of the Normal Infertile Couple The prognosis for the normal infertile couple is poor and unpredictable. These abnormalities can also cause irregular bleeding between menstrual cycles.