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Renal Transplantation Between Adults and Children. (PDF, 1 MB) Journal of the American Medical Association, 1974. In men who have the necessary reproductive organs to procreate, infertility can be caused by low sperm count due to endocrine problems, drugs, radiation, or infection. Without an erection, it is difficult for a man to release sperm inside the vagina—and, therefore, difficult to get a woman pregnant.

Ultrasound: This may reveal issues such as ejaculatory duct obstruction or retrograde ejaculation. Primary infertility When a woman is unable to ever bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth she would be classified as having primary infertility. It is better for a couple to see the doctor together. 6,23 Anovulatory women should have further investigation to determine treatable causes such as thyroid disorders or hyperprolactinemia based on symptoms.

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Practice Committee of American Society for Reproductive Medicine. These endometrial cells can extend as far as the outside of the fallopian tubes, the ovaries and the bladder. An Azoospermic Man with a do novo Point Mutation in the Y-chromosome Gene USP9Y. (PDF, 381 KB) Nature Genetics, 1999. For unknown reasons, as women age, egg numbers decrease at a rapid rate. These and many other questions will help your physician design a specific evaluation and potential treatment for you.

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Surgery for epididymal blockage: A blocked epididymis can be surgically repaired. This improves the chances that the embryo will implant at, or attach to, the wall of the uterus. Ultrastructure of Human Sperm in Men with Congenital Absence of the Vas Deferens: Clinical Implications. (PDF, 2 MB) Fertility and Sterility, 1992. Medicines and drugs Certain types of medicines can sometimes cause infertility problems. The substances are preferentially used at the beginning of the cycle.

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The first transatlantic surgery (Lindbergh operation) ever performed was a laparoscopic gallbladder removal. 6-Mb Deletion of the Human Y Chromosome Persists Through Balance Between Recurrent Mutation and Haploid Selection. (PDF, 295 KB) Nature Genetics, 2003. Allocation of medical resources that could be used elsewhere The legal status of embryos fertilized in vitro and not transferred in vivo. (See also beginning of pregnancy controversy). Microsurgery in Clinical Urology. (PDF, 5 MB) Urology, 1975. This process has revolutionized assisted reproductive technology and the way reproductive endocrinologists can help people in having a baby. After ruling out female infertility concerns, tests for male infertility may be needed. A penile exam should detect atrophy, tumors, epididymal cysts, cryptorchidism (undescended testicles), vas thickening or absence of the vas deferens, hydrocele (fluid accumulation in the testis or along the spermatic cord) or varicocele. Egg donation. This can help you if you have ovaries that don't work right but you have a normal uterus.