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Absence of the main sperm pipeline known as the vas deferens. Source : Infertility for the Family Doctor - PPT Presentation Summary : unexplained infertility. planning assisted reproduction. ...

For patients with a history of endometriosis, pelvic infections, or ectopic pregnancy, evaluation with hysteroscopy or laparoscopy is recommended. Reversal of Vasectomy and the Treatment of Male Infertility. (PDF, 4 MB) Urologic Clinics of North America, 1981. 18  If the semen analysis result is abnormal, further evaluation is indicated (Table 36–8,10,19,20). The main approach to correcting or removing these uterine abnormalities is by hysteroscopy, a surgical method by which a narrow scope with a camera is placed within the uterine cavity.

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The treating doctor may feel inadequacy and the trust between the doctor and patient breaks down [43]. Compensatory and Obligatory Renal Growth in Rats. (PDF, 1 MB) American Journal of Physiology, 1974.

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Although relatively uncommon, eating disorders can negatively affect menstruation, fertility, and maternal and fetal well-being. 8–16 One retrospective case-control study of 650 men with infertility and 698 control participants questioned the role of environmental risk; no association could be determined after assessing for multiple factors including shift work, stress, and pesticides. However, it could be the future for the treatment of multiple diseases, including infertility. This test is performed early in the menstrual cycle after bleeding has stopped but prior to ovulation. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Hormonal Problems A small percentage of male infertility is caused by hormonal problems.  The hypothalamus-pituitary endocrine system regulates the chain of hormonal events that enables testes to produce and effectively disseminate sperm.  Several things can go wrong with the hypothalamus-pituitary endocrine system: · The brain can fail to release gonadotrophic-releasing hormone (GnRH) properly.  GnRH stimulates   the hormonal pathway that causes testosterone synthesis and sperm production.  A disruption in   GnRH release leads to a lack of testosterone and a cessation in sperm production. · The pituitary can fail to produce enough lutenizing hormone (LH) and follicle stimulating hormone   (FSH) to stimulate the testes and testosterone/sperm production.  LH and FSH are intermediates   in the hormonal pathway responsible for testosterone and sperm production. · The testes� Leydig cells may not produce testosterone in response to LH stimulation. · A male may produce other hormones and chemical compounds which interfere with the   sex-hormone balance.

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Nowadays, given the huge emotional impact caused by pregnancy loss, in those cases where two pregnancy losses have taken place, an analysis and treatment is advised. It does not affect the couples' life only, but it also affects the healthcare services and social environment [4]. Do you have any medical problems or prior surgeries? The ovulation induction agents used include clomiphene citrate, hMG, hCG, recombinant FSH, and recombinant LH. 549 KB Effect of Age on Male Fertility. (PDF, 5 MB) Chapter from textbook, Seminars in Reproductive Endocrinology, 1991. 6-Mb Deletion of the Human Y Chromosome Persists Through Balance Between Recurrent Mutation and Haploid Selection. (PDF, 295 KB) Nature Genetics, 2003. Uterine synechiae development is a potential complication after the surgery; therefore, a postoperative HSG should be part of follow-up care. In addition, antibodies are present in 35% of patients with CBAVD.