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The use of Epididymal and Testicular Sperm for ICSI. (PDF, 1 MB) From IX World Congress on In Vitro Fertilization and Alternated Assisted Reproduction, 1995. Paternal age > or = 40 years: an important risk factor for infertility.

Infection: Some infections, such as gonorrhea or inflammation of the testicles, can affect sperm production or sperm health or can cause scarring that blocks the passage of sperm. Patients should undergo an MRI or CT scan of the sella turcica for diagnostic purposes to determine whether a microprolactinoma or a macroprolactinoma is present. Mumps: If this occurs after puberty, inflammation of the testicles may affect sperm production.

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Worldwide, 8 to 12 percent of couples experience fertility problems. Ovulation disorders can be due to: Premature ovarian failure: The ovaries stop working before the age of 40 years. Studies on Testicular Biopsies from Vasectomized Men. (PDF, 18 MB) Chapter 21 from Vasectomy: Immunologic and Pathophysiologic Effects in Animals and Man, 1979.

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Smoking: Smoking significantly increases the risk of infertility in both men and women, and it may undermine the effects of fertility treatment. It is often defined as not conceiving after 12 months of regular sexual intercourse without the use of birth control. 42 Urinary luteinizing hormone kits indicate the midcycle luteinizing hormone surge that precedes ovulation by one to two days.

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The FAST study: fertility assessment and advice targeting lifestyle choices and behaviours: a pilot study. Uterine surgery: - Women with amenorrhoea who are found to have intrauterine adhesions should be offered hysteroscopic adhesiolysis because this is likely to restore menstruation and improve the chance of pregnancy. Vasectomy. (PDF, 5 MB) From the Encyclopedia of Reproduction, 1999. This highly contagious disease caused by Brucella canis results in abortion and infertility in bitches and infertility in males. As well as generally causing pelvic and menstrual pain, it is estimated that around 40% of women faced with difficulties getting pregnant have endometriosis. Sperm can survive inside the female for up to 5 days, while an egg can be fertilized for up to 1 day after ovulation. Conventional IVF vs ICSI (Intra Cytoplasmic Sperm Injection) for Patients Requiring Microsurgical Epididymal Sperm Aspiration (MESA). (PDF, 4 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994.