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The treatment approach depends on the cause(s) of the infertility. A specimen is collected by masturbation into a clean, dry, sterile container or during coitus using special condoms (containing no spermicidal lubricants). Microsurgery for Vasectomy Reversal and Vasoepididymostomy. (PDF, 13 MB) Urology, 1984. Thankfully, even when the cause of infertility is not known, various fertility treatments can eventually lead to delivery of a healthy baby. Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989.

Reduced fecundability in women with prenatal exposure to cigarette smoking. Estrogen excess may be seen in patients with Sertoli cell tumors, Leydig tumors, liver failure, or severe obesity.

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The epididymis is a coil-like structure in the testicles which helps store and transport sperm. Veltman-Verhulst SM, Cohlen BJ, Hughes E, Heineman MJ. Oocyte Vitrification – Women’s Emancipation Set in Stone. (PDF, 70 KB) Fertility and Sterility, 2008. Clark AM, Thornley B, Tomlinson L, Galletley C, Norman RJ. Submucosal fibroids: Benign or non-cancerous tumors occur in the muscular wall of the uterus. Female factor Dysfunction of the female reproductive organs is also apparent in around 40% of infertile couples.

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Pregnancy with Sperm Aspiration from the Proximal Head of the Epididymis: A New Treatment for Congenital Absence of the Vas Deferens. (PDF, 2 MB) Fertility and Sterility, 1988. Surgery for epididymal blockage: A blocked epididymis can be surgically repaired.

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Microsurgical Epididymal Sperm Aspiration and Assisted Reproductive Techniques. (PDF, 4 MB) Frontiers in Human Reproduction, 1991. But for other men, advances in male infertility treatment offer real help. If there is a history of recurrent miscarriages (2 or more) a lupus anticoagulant (LAC) and anti-cardiolipin antibody (ACL) are often done, as well as other tests. Post-testicular causes of infertility Post-testicular causes of infertility include problems with sperm transportation through the ductal system, either congenital or acquired.