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Evaluating the Infertile Male – Part 1. (PDF, 5 MB) Contemporary OB/GYN, 2004. 2012;27(8):2396–2404.   Want to use this article elsewhere?

Secondary infertility When a woman is unable to bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth following either a previous pregnancy or a previous ability to carry a pregnancy to a live birth, she would be classified as having secondary infertility. Microsurgery for the Undescended Testicle. (PDF, 5 MB) Urologic Clinics of North America, 1982. Judaism and Repoductive Technology. (PDF, 160 KB) 2003. Laboratory studies have suggested that long-term acetaminophen use during pregnancy may affect fertility in males by lowering testosterone production. Medical management: - Ovarian suppression of minimal and mild endometriosis diagnosed as the cause of infertility in women does not enhance fertility and should not be offered. It was usual practice to talk about infertility in those cases where three or more pregnancy losses had occurred.

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Ovulation often can be detected by keeping a menstrual calendar or using an ovulation predictor kit. Ultrasound: This may reveal issues such as ejaculatory duct obstruction or retrograde ejaculation. 8 Counseling on lifestyle modifications is reasonable because exposures to tobacco and alcohol are associated with lower rates of fertility. Each country has its own body or bodies responsible for the inspection and licensing of fertility treatment under the EU Tissues and Cells directive [78] Regulatory bodies are also found in Canada [79] and in the state of Victoria in Australia [80] See also[edit] [edit] Inhorn MC (2003). "Global infertility and the globalization of new reproductive technologies: illustrations from Egypt". PID can damage and scar the fallopian tubes, making it virtually impossible for an egg to travel down into the womb. In women, lead poisoning reduces conceptions and increases the risk of fetal wastage.

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This number has been rising continuously over the last few years. If the sperm do not have the right shape, or they cannot travel rapidly and accurately towards the egg, conception may be difficult. In this treatment, millions of healthy sperm are injected into the woman’s uterus at the time of ovulation.  IVF: The most effective assisted reproductive treatment is in vitro fertilization or IVF.

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I cannot stress enough how amazing this staff is, they make you feel like family! Assisted Reproductive Technology: Using Ejaculated, Fresh, and Frozen-thawed Epididymal and Testicular Spermatozoa Gives Rise to Comparable Results after Intracytoplasmic Sperm Injection. (PDF, 5 MB) Fertility and Sterility, 1995. Hormone imbalances Infertility can result from disorders of the testicles themselves or an abnormality affecting other hormonal systems including the hypothalamus, pituitary, thyroid and adrenal glands. Microsurgical Aspects of Varicocele. (PDF, 9 MB) Fertility and Sterility, 1979. Outlook For couples who experience fertility problems and those who wish to have children at an older age, there are more options available than ever before. The Use of Epididymal Sperm in Assisted Reproduction. (PDF, 8 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. Preliminary Tests of a New Reversible Male Contraceptive in Bush Dog, Speothos Venaticus: Open-ended Vasectomy and Microscopic Reversal. (PDF, 106 KB) Journal of Zoo and Wildlife, 2006. Patients are at increased risk of infertility, even if the testicle is brought down into the scrotum, as the testicle itself may be inherently abnormal. Three main events necessary for pregnancy to occur are: Ovulation: the process by which the mature egg is released from one of the woman’s ovaries. However, until approximately age 64, a man’s age does not affect sperm or the ability to fertilize eggs. In such cases, OPKs and those fertility monitors which are based on LH may show false results, with an increased number of false positives or false negatives.