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Etiologies include cysts (midline and eccentric), ductal calcification and stones, postinfectious, and postoperative. 549 KB Effect of Age on Male Fertility. (PDF, 5 MB) Chapter from textbook, Seminars in Reproductive Endocrinology, 1991.

Recombination Between Palindromes P5 and P1 on the HUman Y Chromosome Causes Massive Deletions and Spermatogenic Failure. (PDF, 786 KB) The American Journal of Human Genetics, 2002. For patients with a history of endometriosis, pelvic infections, or ectopic pregnancy, evaluation with hysteroscopy or laparoscopy is recommended. Programming of Ovarian Stimulation with Norethindrone Acetate in IVF/GIFT Cycles. (PDF, 2 MB) Human Reproduction, 1989.

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Microsurgery Successful in Vasectomy Reversals. (PDF, 156 KB) The New York Times, 1975. Fertilizing Capacity of Epididymal and Testicular Sperm with ICSI. (PDF, 5 MB) Frontiers in Endocrinology, 1995. The surgeon can remove implants and scar tissue, and this may reduce pain and aid fertility. And about 15% of infertile men have normal semen and plenty of normal sperm.

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25 Women with no clear risk of tubal obstruction should be offered hysterosalpingography to screen for tubal occlusion and structural uterine abnormalities. Do you have any medical problems or prior surgeries? Treatment of tubal obstruction generally requires referral for subspecialty care. Key to the diagnosis of male infertility is a semen analysis, which assesses primarily sperm numbers, sperm movement and sperm form. Overheated testicles: Causes include an undescended testicle, a varicocele, or varicose vein in the scrotum, the use of saunas or hot tubs, wearing tight clothes, and working in hot environments.

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Zygote Intrafallopian Transfer (ZIFT) Zygote Intrafallopian Transfer (ZIFT) is another variation of IVF. A woman with a suspicion of chronic anovulation most probably due to polycystic ovary (PCO) syndrome, as there is a long history of irregular cycles and clinical presentation with hirsutism, her serum levels of testosterone hormone, sex hormone binding globulin (SHBG), dihydroepiandrostenedione (DHEA), dihydroepiandrostenedione-sulfate (DHEAS) and prolactin should be evaluated to prove the provisional diagnosis and to detect the source of excess androgens. 8 These studies are more sensitive and may delineate an abnormally formed uterus or structural problems, such as fibroids. Reproductive Biology. (PDF, 147 KB) The Scientist, 1996. About 10% of reproductive age women are affected by endometriosis. Endometrial polyps Endometrial polyps are growths found in the uterine cavity. If necessary, they refer patients to a fertility clinic or local hospital for more specialized tests. Some causes, such as hyperprolactinemia, are reversible with proper treatment. 38,39 Family physicians may choose to attempt ovulation induction in anovulatory women (WHO group II) with clomiphene. Combined causes of infertility and sterility A person can often have a subfertility issue that may be helped or made worse depending on their partner's circumstances. If necessary, they refer patients to a fertility clinic or local hospital for more specialized tests. A history of pelvic infections or sexually transmitted diseases: Sexually transmitted infections, such as chlamydia or gonorrhea, can cause inflammation and permanent scarring of the fallopian tubes. On the contrary to women, in which is the issue can more commonly be detected, most male fertility issues, other than those caused by infections, are unexplained. The elevated temperature hinders the maturation process of sperm, which develop best in an environment that is slightly cooler than body temperature.