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8  A normal sample according to the 2010 World Health Organization (WHO) guidelines is described in Table 2. His first atlas, More Details on Pelviscopy and Hysteroscopy was published in 1976, a slide atlas on pelviscopy, hysteroscopy, and fetoscopy in 1979, and his books on gynecological endoscopic surgery in German, English, and many other languages in 1984, 1987, and 2002.

3) Insemination: Intrauterine insemination, also known as IUI, is a process by which sperm is washed and prepared for placement into the uterine cavity, therefore bypassing the cervix and bringing a higher concentration of motile sperm closer to the tubes and ovulated egg. As the major causes of infertility are sperm abnormalities, ovulation dysfunction, and fallopian tube obstruction, the preliminary adviced investigations for the infertile couple should be focused on semen analysis (to be compared with the WHO reference values [27]), detection of ovarian function by hormonal assay (early follicular FSH and LH levels, and mid-luteal progesterone), and evaluation of tubal patency by hysterosalpingography (HSG) [17-32], (Appendix 3). Sertoli-cell-only syndrome (germinal cell aplasia) Patients with germinal cell aplasia have LH and testosterone levels within the reference range but have an increased FSH level. Instructions for collecting the sample should include abstinence from ejaculation for 48 to 72 hours. Environmental vs Genetic Sex Determination: A Possible Factor in Dinosaur Extinction? (PDF, 307 KB) Fertility and Sterility, 2004. It is often prescribed for Crohn's disease or rheumatoid arthritis.

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Earn up to 6 CME credits per issue.     To see the full article, log in or purchase access. Some medications increase the risk of fertility problems in men.

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Isodicentric Y Chromosomes and Sex Disorders as Byproducts of Homologous Recombination that Maintains Palindromes. (PDF, 1 MB) Cell, 2009. Clark AM, Thornley B, Tomlinson L, Galletley C, Norman RJ.

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10 Data Sources: A PubMed search was completed using the key terms infertility, subfertility, treatment, etiology, and diagnosis. These pyramids are filled with the seminiferous tubules. They compete with endogenous GnRH molecules for the pituitary receptors and provoke a massive release of gonadotropins into circulation. 40 Patients using these agents should be counseled about these risks. It is specially oriented for cancer patients, whose sperm is destroyed due to the gonadotoxic treatment they are submitted to.[70] Ovaric stem cells: it is thought that women have a finite number of follicles from the very beginning.