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Environmental vs Genetic Sex Determination: A Possible Factor in Dinosaur Extinction? (PDF, 307 KB) Fertility and Sterility, 2004. The epididymis is a coil-like structure in the testicles which helps store and transport sperm.

In some cases, the cause of infertility or subfertility could not be suspected from the history taking and clinical examination. Idiopathic Hypercalciuria. (PDF, 1 MB) New England Journal of Medicine, 1971. These include: Infrequent menstrual periods: When a woman has regular menstrual periods, defined as regular cycles occurring every 21 to 35 days, this almost always indicates that she ovulates regularly. After in vitro fertilization, your doctor transfers the fertilized eggs into your uterus.Causes of Infertility A problem in any one of a number of key processes can result in infertility. Specific surgical instruments used in a laparoscopic surgery include forceps, scissors, probes, dissectors, hooks, and retractors. Testicular Sperm Extraction (TESE) and Intracytoplasmic Sperm Injection (ICSI) for Non-obstructive Azoospermia.(PDF, 1 MB) 10th World Congress on In Vitro Fertilization and Assisted Reproduction, 1997.

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After reaching its ampullary portion behind the bladder, the vas joins with the seminal vesicles, at the ejaculatory duct, which empties next to the verumontanum of the prostate. In cases of poor sperm quality, intrauterine insemination can be performed. Obese women have a higher rate of recurrent, early miscarriage compared to non-obese women.

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However, about one in five cases of infertility has no clear diagnosed cause.[73] In Britain, male factor infertility accounts for 25% of infertile couples, while 25% remain unexplained. Normal Fertilization of Human Oocytes after Testicular Sperm Extraction and Intracytoplasmic Sperm Injection.(PDF, 2 MB) Fertility and Sterility, 1994. The use of Epididymal and Testicular Sperm for ICSI. (PDF, 1 MB) From IX World Congress on In Vitro Fertilization and Alternated Assisted Reproduction, 1995.

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If there's a problem with the mucus, it can make it harder to conceive. Successful Autotransplantation of an Intra-abdominal Testis to the Scrotum by Microvascular Technique. (PDF, 11 MB) The Journal of Urology, 1976. Drawbacks of ICSI include unknown risks to the egg or embryo and damage to the embryo. CO2 is used because it is common to the human body and can be absorbed by tissue and removed by the respiratory system. ARTICLES FROM THE 1990s Microsurgery, Andrology, and Its Role in IVF. (PDF, 6 MB) Chapter in text book, Advances in Assisted Reproductive Technology, 1990. Diagnosis and Management of Hypogonadism, Infertility, and Impotence. (PDF, 13 MB) Chapter 22 of textbook,Male Reproductive Dysfunction, 1986. After 3-6 hours, the sperm is added to the oocytes. For this reason, it’s recommended that couples who’ve been trying to get pregnant for over a year without success seek the advice of a doctor. This technique involves an injection of a single healthy sperm directly injected into mature egg.