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Orchitis The most common cause of acquired testicular failure in adults is viral orchitis, such as that caused by the mumps virus, echovirus, or group B arbovirus. 8 Women in group I typically present with amenorrhea and low gonadotropin levels, most commonly from low body weight or excessive exercise. Treatment of the cause: 25. Ovulation disorders: (Group II “PCO”) 1. A specific portion of the androgen receptor gene, exon 1, has been studied in infertile males and a meta-analysis that involved males with idiopathic infertility and fertile controls found that infertility was directly correlated with the length of CAG repeats in this exon.[23] Y chromosome microdeletion syndrome The long arm of the Y chromosome (Yq) is considered critical for fertility, especially Yq11.

Clark AM, Thornley B, Tomlinson L, Galletley C, Norman RJ. A mouse study has suggested that ingredients in some household detergents may reduce fertility.

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It is usually not the natural state of a healthy adult, except notably among certain eusocial species (mostly haplodiploid insects). Debate over whether health insurance companies (e.g. in the US) should be required to cover infertility treatment. Fimbrial phimosis and periadnexal disease can be treated with laparoscopy. [134, 135, 136, 137, 138] The pregnancy rate after salpingolysis is 50-60% during the first year after treatment.

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Full history taking of both partners usually denotes the underlying problem [17-23], (Appendix 1). Hypothyroid bitches might not cycle or have increased abortion rates, or neonatal survival may be poor. In OB-GYN residency programs, the average laparoscopy-to-laparotomy quotient (LPQ) is 0. 29 When the semen analysis is abnormal, referral to a male fertility specialist or reproductive endocrinologist is warranted.

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Surgery for epididymal blockage: A blocked epididymis can be surgically repaired. Therefore we recommend a fertility evaluation if a couple has been attempting pregnancy for 6 months or more when the woman is 35 years of age or older. Medical conditions Some medical conditions can affect fertility. Finding out that you're infertile can be an unpleasant surprise, to say the least. “Many men feel emotional stress with a diagnosis of infertility,” says Ross. Ovulation of the egg occurs approximately 2 weeks before the start of the next period. Microsurgery for the Undescended Testicle. (PDF, 5 MB) Urologic Clinics of North America, 1982.