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Incidence and main causes of infertility in a resident population (1,850,000) of three French regions (1988–1989). Patients generally have long arms and legs due to a delayed closure of the epiphyseal plates, delayed puberty, and atrophic testis. Broekmans FJ, Kwee J, Hendriks DJ, Mol BW, Lambalk CB. These microdeletions are not observed on regular karyotype testing; rather, their identification requires polymerase chain reaction (PCR)–based sequence-tagged site mapping or Southern blot analysis.

Surgical therapy of a macroprolactinoma is rarely curative, although this should be considered in patients with visual-field defects or those who do not tolerate bromocriptine. Transplantation of Rat Kidneys with Acute Tubular Necrosis into Salt-loaded and Normal Recipients. (PDF, 2 MB)Surgery, 1975. Microsurgery of the Male Genitalia for Infertility. (PDF, 8 MB) Chapter 59 from Reconstructive Urologic Surgery, 1994.

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When the eggs are mature, your doctor collects them with a device called a vaginal ultrasound probe. Once the follicles (fluid filled sacs containing the eggs) reach a mature size, an HCG injection is administered which leads to final development and maturation of the eggs. We get information regarding the woman's potential for adequate ovarian stimulation with medications by counting antral follicles. Prolactin stimulates breast development and lactation; therefore, patients with infertility due to a prolactinoma may have gynecomastia and galactorrhea. To verify azoospermia, the semen should be centrifuged and evaluated under a light microscope for the presence of sperm. Do you have a family history of medical problems?

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The Disappearing Y Chromosome – “I Told You So!” (PDF, 266 KB) Human Reproduction, 1997. An Azoospermic Man with a do novo Point Mutation in the Y-chromosome Gene USP9Y. (PDF, 381 KB) Nature Genetics, 1999. If the correction is not done, it may be harder for the sperm to get to the female's cervix. Infection An increased number of white blood cells in the semen may be observed in patients with infectious or inflammatory processes of the genital tract. Various parameters are measured, such as ejaculate volume and sperm density, quality, motility, and morphology.

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ICSI with Epididymal and Testicular Sperm Retrieval. (PDF, 1 MB) Male Sterility and Motility Disorders: Etiological Factors and Treatment, 1998. Intra-uterine insemination for unexplained subfertility. Large submucosal uterine fibroids may make the uterus' cavity bigger, increasing the distance the sperm has to travel. Microsurgical Epididymal Sperm Aspiration and Assisted Reproductive Techniques. (PDF, 4 MB) Frontiers in Human Reproduction, 1991. Reduced hormones may result, which could potentially translate into trouble conceiving.