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The virus may either directly damage the seminiferous tubules or indirectly cause ischemic damage as the intense swelling leads to compression against the tough tunica albuginea. The use of aromatase inhibitors for ovulation induction in premenopausal women is controversial due to the possibility of fetal toxicity and fetal malformations raised by one abstract. [172] However, 2 subsequent publications have shown no evidence of fetal malformations with the letrozole and no difference in birthweight compared with spontaneous conceptions. [173, 174] Furthermore, based on the half-life of each drug, administration in the early follicular phase should result in clearance of the aromatase inhibitors before implantation takes place.

The quality of the cervical mucus can be improved with the administration of a small dose of estrogens, or the problem can be bypassed by intrauterine insemination. [163, 209] If the follicle is smaller than 23-24 mm at the time of ovulation, a better size can be obtained by starting the CC therapy on the menstrual cycle day 2. Absence of the main sperm pipeline known as the vas deferens.

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42 Urinary luteinizing hormone kits indicate the midcycle luteinizing hormone surge that precedes ovulation by one to two days. For unknown reasons, as women age, egg numbers decrease at a rapid rate. Women in group III can conceive only with oocyte donation and in vitro fertilization. Povey AC, Clyma JA, McNamee R, et al.; Participating Centres of Chaps-UK.

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Perspectives on infertility consultations in primary care: a qualitative study. Unlike women, whose fertility significantly declines after the age of 35, men’s fertility doesn’t decline until they are much older. The Intra-abdominal Testes: Microvascular Autotransplantation. (PDF, 4 MB) The Journal of Urology, 1981. Although relatively uncommon, eating disorders can negatively affect menstruation, fertility, and maternal and fetal well-being. Treatment of tubal obstruction generally requires referral for subspecialty care.

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The endometrium can be damaged from previous curettages or infections like endometritis. A Physical Map of the Human Y Chromosome. (PDF, 160 KB) Nature, 2001. Scrotal surgery, including vasectomy, hydrocelectomy (5-6%), and spermatocelectomy (up to 17%), may lead to epididymal injury and subsequent obstruction.[30] Antisperm antibodies Antisperm antibodies bind to sperm, impair motility, and lead to clumping, impairing movement through the female reproductive tract and interaction with the oocyte. 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. Treatment of Anovulatory Conditions Jump to section + Women with WHO group I ovulatory disorders should be counseled to achieve a normal body weight. Laparoscopy for Cryptorchidism. (PDF, 1 MB) The Journal of Urology, 1980. Vasectomy Reversal. (PDF, 733 KB) The New England Journal of Medicine, 1977. After all, the necessity of reproduction is one of the few things on which both Darwin and the Bible agree. Because of the intimate relationship between the fallopian tubes and the other pelvic organs and because, in the great majority of the cases, peritoneal pathology involves tubal pathology, the treatments of these factors are discussed together.