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Microscopic Vasoepididymostomy: Specific Microanastomosis to the Epididymal Tubule. (PDF, 15 MB) Fertility and Sterility, 1978. Microcirugía y fertilición in vitro para la azoospermia obstructiva. (PDF, 5 MB) Chapter 14 from textbook, Avances en reproducción asistida, 1992. A hypothalamic-hypophyseal ovarian failure can lead to a reduced GnRH production, which, in turn, leads to an insufficient release of LH and FSH. It varies with the age (the optimal female age is between 23 and 39 years) and with body weight (the ideal body mass index is between 19 and 30). Microsurgical Epididymal Sperm Aspiration and Assisted Reproductive Techniques. (PDF, 4 MB) Frontiers in Human Reproduction, 1991.

Although sperm quality deteriorates as men age, this does not create a problem until after the age of 60. The Treatment of Azoospermia with Surgery and ICSI. (PDF, 4 MB) Chapter 10 from Male Fertility & Infertility, 1998. Surgical sperm aspiration: The sperm is removed from part of the male reproductive tract, such as the vas deferens, testicle, or epididymis. 37,38 The addition of 1,500 to 1,700 mg of metformin (Glucophage) daily may increase ovulation and pregnancy rates, but it does not significantly improve live birth rates over clomiphene alone. The incidence rate of ectopic pregnancy after surgery is in the range of 5%. The patency of the fallopian tubes can also be checked.

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In contrast, functional pituitary tumors may lead to unregulated gonadotropin release or prolactin excess, interrupting the proper signaling. Endometrial polyps Endometrial polyps are growths found in the uterine cavity.

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The most commonly prescribed injections that stimulate the ovary are called gonadotropins. Cervical surgery can also sometimes cause scarring or shorten the neck of the womb (the cervix). Clark AM, Thornley B, Tomlinson L, Galletley C, Norman RJ.

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Symptoms depend on what is causing the infertility. The Most Common Causes of Male Sterility There are several causes of male sterility, including: Abnormal sperm production Impaired delivery of sperm Testosterone deficiency Genetic defects Undescended testes Also, erectile dysfunction or low libido can make the process of procreation that much more difficult. Treatment[edit] Treatment depends on the cause of infertility, but may include counselling, fertility treatments, which include in vitro fertilization. 37 Clomiphene has also proven effective for ovulation induction in women with polycystic ovary syndrome. Pro-life opposition to the destruction of embryos not transferred in vivo. Exposure to chemicals: Pesticides, for example, may increase the risk. Ovulation occurs about two weeks before a woman’s next period starts. 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. ARTICLES FROM THE 2000s Evaluation and Treatment of Male Infertility. (PDF, 17 MB) Clinical Obstetrics and Gynecology, 2000. Some methods may be used in concert with other methods. Effect of male age on fertility: evidence for the decline in male fertility with increasing age. A smaller amount may suggest a structural or hormonal problem leading to deficient semen production; 2) sperm concentration – normal concentration should be at least 20 million sperm per 1 ml of semen. If a woman has cycles at intervals of greater than 35 days, it may indicate that she is not ovulating an egg predictably, or even at all. About 25% of all infertility is caused by a sperm defect and 40-50% of infertility cases have a sperm defect as the main cause, or a contributing cause. For women aged 35, about 94% who have regular unprotected sexual intercourse get pregnant after three years of trying. Submucosal fibroids: Benign or non-cancerous tumors occur in the muscular wall of the uterus.