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A doctor may diagnose infertility if a woman has not become pregnant after 1 year of trying. The sperm is washed in a fluid and the best specimens are selected. The Fate of Non-absorbable Intraureteral Suture. (PDF, 233 KB) The Journal of Urology, 1973. Calcification of the Seminal Vesicles and Vas Deferens in a Uremic Patient. (PDF, 3 MB) The Journal of Urology, 1971.

42 However, none of these methods has been proven to increase pregnancy rates when used to predict timing of intercourse. Microscopic Vasoepididymostomy: Specific Microanastomosis to the Epididymal Tubule. (PDF, 15 MB) Fertility and Sterility, 1978. Diagnosis Most people will visit a physician if there is no pregnancy after 12 months of trying.

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In another 30% of all cases, the cause is in the male partner. Some authorities believe that ovulation occurs 5 days after the last dose of CC. Usually, one incision is placed near the navel and a second near the pubic hairline.

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Fimbrial phimosis and periadnexal disease can be treated with laparoscopy. [134, 135, 136, 137, 138] The pregnancy rate after salpingolysis is 50-60% during the first year after treatment. Controversy exists regarding whether to routinely repair an adolescent varicocele not associated with testicular atrophy. Immediate surgery is needed and, sadly, the tube on that side will be lost.

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Treatment of the cause: 25. Ovulation disorders: (Group II “PCO”) 1. Ovarian Hyperstimulation Syndrome (OHSS) The syndrome occurs due to treatment with medicamentous ovulation inductors. Quantitative Evaluation of Spermatogenesis by Testicular Histology in Men with Congenital Absence of the Vas Deferens Undergoing Epididymal Sperm Aspiration. (PDF, 3 MB) Human Reproduction, 1990. A specimen is collected by masturbation into a clean, dry, sterile container or during coitus using special condoms (containing no spermicidal lubricants). Immunological testing has not been proven to have any value in infertility patients without a history of 2 or more miscarriages. Varicocele The veins in a man’s scrotum (sac) can become too large. Anovulation can also cause cessation of periods (secondary amenorrhea) or excessive bleeding (dysfunctional uterine bleeding). Adding recombinant human FSH to HCG has been shown to be effective in achieving spermatogenesis in most patients.[18] Select patients with adult-onset idiopathic hypogonadotropic hypogonadism may respond to clomiphene citrate therapy.[19] Prader-Willi syndrome Patients have characteristic obesity, mental retardation, small hands and feet, and hypogonadotropic hypogonadism due to a GnRH deficiency. American Urological Association Education and Research, Inc. 2012;27(8):2396–2404.   Want to use this article elsewhere?