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If the sperm are of good quality and the mechanics of the woman's reproductive structures are good (patent fallopian tubes, no adhesions or scarring), a course of ovulation induction maybe used. The cause of sterility can also be found in the tubes. New Treatment for Infertility Due to Congenital Absence of Vas Deferens. (PDF, 1 MB) The Lancet, 1987. Prozac and other SSRIs, Propecia).  Luckily, many treatment options exist for ED depending on the cause--these will be discussed in the treatment section. The Three-kidney Rat Model. (PDF, 2 MB) Investigative Urology, 1974.

Ovarian Hyperstimulation Syndrome (OHSS) The syndrome occurs due to treatment with medicamentous ovulation inductors. Although 60% of patients have evidence of antisperm antibodies after vasectomy, the clinical significance has not been completely elucidated.

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Obstructions in the sperm transport plumbing can sometimes be surgically corrected. Transplantation of Rat Kidneys with Acute Tubular Necrosis into Salt-loaded and Normal Recipients. (PDF, 2 MB)Surgery, 1975.

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The Use of Epididymal Sperm in Assisted Reproduction. (PDF, 8 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. Although many of these can be treated through surgery or hormonal substitutions, some may be indefinite.[59] Infertility associated with viable, but immotile sperm may be caused by primary ciliary dyskinesia. Prolactin stimulates milk production during breastfeeding. Vasectomy and Vasectomy Reversal. (PDF, 7 MB) Fertility and Sterility, 1978. Submucosal fibroids: Benign or non-cancerous tumors occur in the muscular wall of the uterus.

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Fertility Evaluation: General and Sexual History A detailed history includes: General history  This includes occupation and background, use of tobacco, alcohol and drugs, earlier diseases, history of abdominal surgery and earlier infections. After stimulation, the physician surgically extracts one or more eggs from the ovary, and unites them with sperm in a laboratory setting, with the intent of producing one or more embryos. In particular, small bowel obstruction poses the most significant problem.[30] The use of surgical humidification therapy during laparoscopic surgery may minimise the incidence of adhesion formation.[32] Other techniques to reduce adhesion formation include the use of physical barriers such as films or gels, or broad-coverage fluid agents to separate tissues during healing following surgery.[30] Robotic laparoscopic surgery[edit] A laparoscopic robotic surgery machine. Usually, you’ll still be able to maintain erections and have sex, and the quantity and appearance of your semen will also be normal. 18  If the semen analysis result is abnormal, further evaluation is indicated (Table 36–8,10,19,20). Vasectomy and Vasectomy Reversal. (PDF, 7 MB) Fertility and Sterility, 1978. The embryo is then placed in the uterus to begin a pregnancy. Other testing may be needed based on circumstances, including testicular biopsy, genetic testing, and imaging (Table 36–8,10,19,20). Abnormalities may be a sign of a primary hypothalamic, pituitary, or testicular problem.Causes Causes generally can be divided into pretesticular, testicular, and post-testicular. Renal Echinococcus. (PDF, 1 MB) The Journal of Urology, 1972. Adhesions with the surrounding tissue can develop as well, and reduce the motility of the tubes. Today, it is feasible by using a gestational carrier.