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A varicocele is a varicose vein found in the scrotum. Ovulatory menstrual periods tend to be regular and predictable in terms of cycle length, duration and heaviness of bleeding, and other symptoms. For most specimens, the greatest recovery of the motile portion results from separation via centrifugal filtration through a discontinuous density gradient system.

A Modern View of Male Infertility. (PDF, 7 MB) From The Infertile Male: Advanced Assisted Reproductive Technology, 1994. Men who are underweight tend to have lower sperm concentrations than those who are at a normal BMI.

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Unicornuate uterus is associated with renal abnormalities including absence of a kidney or presence of a pelvic kidney; this occurs in 15% of cases. The emotional toll on both partners can affect their relationship. Counseling about options should be offered to couples who are not physically able to conceive (i.e., same-sex couples or persons lacking reproductive organs). But the question that should be answered one day is: will the output quality be compromised with such approach?

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Patients with azoospermia should have a postejaculatory urine sample analyzed for sperm, should be evaluated for ejaculatory duct obstruction, and should undergo a hormonal evaluation. Predominantly anovulation is caused by hormonal imbalances such as Polycystic Ovarian Syndrome (PCOS) but ovarian scarring and premature menopause can also result in failure to ovulate. • Tubal disease, comprising anything from mild adhesions to complete blockage of the fallopian tubes, prevents fertilised eggs from travelling from the site of fertilisation to the uterus. Damaged tubes may interfere with fertilization of the egg and its transport into the uterine cavity. Reduced hormones may result, which could potentially translate into trouble conceiving. To analyze tubal causes of sterility, different methods can be considered.

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As part of the fertility evaluation, we will perform an HSG, a test designed to evaluate if the fallopian tubes are open. 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. Epididymal Surgery. (PDF, 8 MB) Chapter 8 from textbook, Infertility, 1992. The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999. Treatment Treatment will depend on many factors, including the age of the person who wishes to conceive, how long the infertility has lasted, personal preferences, and their general state of health. 43 Other low-cost methods of monitoring for ovulation, although less effective, include basal body temperature measurements and cervical mucus changes. Ejaculation disorders Ejaculation disorders include premature ejaculation, anejaculation (the failure to ejaculate), and retrograde ejaculation, which is when semen enters the bladder during orgasm instead of coming out the tip of the penis. Choice of infertility treatment often related to issues of efficacy, cost, ease of use or administration, and its side effects. However, given that fertility in women is known to decline steadily with age, some providers evaluate and treat women aged ≥35 years after 6 months of intercourse without the use of contraception (1). Renal Echinococcus. (PDF, 1 MB) The Journal of Urology, 1972. Judaism and Repoductive Technology. (PDF, 160 KB) 2003.