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Testosterone and multiple hormones made in the brain control sperm production. Bladder neck closure during ejaculation is vital to ensure antegrade ejaculation. Fertilizing Capacity of Epididymal and Testicular Sperm using Intracytoplasmic Sperm Injection (ICSI). (PDF, 7 MB)Reproduction, Fertility and Development, 1995.

Abnormal sperm: The sperm may have an unusual shape, making it harder to move and fertilize an egg. Fertilizing Capacity of Epididymal and Testicular Sperm using Intracytoplasmic Sperm Injection (ICSI). (PDF, 7 MB)Reproduction, Fertility and Development, 1995.

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First Fallopian Tube-Ovary Transplant Carried Out. (PDF, 2 MB) Welcome Trends in Ob/Gyn, 1985. Taking testosterone, or any over-the-counter androgen like DHEA (for weight training), can harm fertility, says Shaban. “People have had unnecessary surgeries because they forgot to say they were on these medicines,” he warns.

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Editorial: The Cure and Proliferation of Male Infertility. (PDF, 2 MB) The Journal of Urology, 1998. Because ovarian hyperstimulation syndrome does not occur, the patient's response is slow. Cervical surgery can sometimes cause scarring or shortening of the cervix. 6 The initial history should cover menstrual history, timing and frequency of intercourse, previous use of contraception, previous pregnancies and outcomes, pelvic infections, medication use, occupational exposures, substance abuse, alcohol intake, tobacco use, and previous surgery on reproductive organs. Semen analysis: A sample may be taken to test for sperm concentration, motility, color, quality, any infections, and whether any blood is present.

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In the United States, around 10 percent of women aged 15 to 44 years are estimated to have difficulty conceiving or staying pregnant. A detailed history and physical examination is necessary for both partners. Polycystic ovary syndrome (PCOS): The ovaries function abnormally and ovulation may not occur. Treatment of the cause: 30. Unexplained infertility: - Ovarian stimulation should not be considered as does not improve pregnancy or birth rates. - Advise to try to conceive for two years of unprotected sexual intercourse before other options. - After two years of failure to conceive, consider IVF/ICSI. Low progesterone levels may lead to early miscarriage. This technique is called hand-assist laparoscopy. Diagnostic evaluation of the infertile female: a committee opinion. When the eggs are mature, your doctor collects them with a device called a vaginal ultrasound probe. The severity usually depends on how near to the testicles the radiation was aimed. The risk of ovarian hyperstimulation syndrome and multiple pregnancy is heightened; therefore, hMG should be started at the minimal dose (75 IU SC qd for 7 days). When the eggs are mature, your doctor collects them with a device called a vaginal ultrasound probe.