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The patients are classified as WHO1 (15%) - hypo-gonadotropic, hypo-estrogenic, WHO2 (80%) - normo-gonadotropic, normo-estrogenic, and WHO3 (5%) - hyper-gonadotropic, hypo-estrogenic. If the sperm do not have the right shape, or they cannot travel rapidly and accurately towards the egg, conception may be difficult. Nonliquefication of the semen can be differentiated from benign hyperviscosity by a normal postcoital test finding. This procedure is performed in the outpatient setting. Women in group II include those with polycystic ovary syndrome and hyperprolactinemia.

Laparoscopy for Cryptorchidism. (PDF, 1 MB) The Journal of Urology, 1980. Ejaculation disorders: If the ejaculatory ducts are blocked, semen may be ejaculated into the bladder Hormonal imbalance: Hypogonadism, for example, can lead to a testosterone deficiency.

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Get Permissions Email Alerts Don't miss a single issue. Microscopic Vasectomy Reversal 30 Years Later: A Summary of 4010 Cases by the Same Surgeon. (PDF, 295 KB)Journal of Andrology, 2004.

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Techniques for the Resolution of Testicular Obstruction. (PDF, 8 MB) Chapter 78 from textbook, Reconstructive Urology, 1992. Idiopathic Hypercalciuria. (PDF, 1 MB) New England Journal of Medicine, 1971. A mouse study has suggested that ingredients in some household detergents may reduce fertility. 8 These studies are more sensitive and may delineate an abnormally formed uterus or structural problems, such as fibroids. Additionally, surgery, radiation or chemotherapy to treat tumors can affect male fertility.

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Females[edit] The following causes of infertility may only be found in females. These may be purchased over the counter and allow couples to predict the most fertile days in the cycle. It is increasingly recognized that egg quality is of critical importance and women of advanced maternal age have eggs of reduced capacity for normal and successful fertilization. Microsurgery in Clinical Urology. (PDF, 5 MB) Urology, 1975. Investigations Infertile couples are usually adviced to start their investigations after 12 months of trying to conceive or after 6 months if the female partner is more than 35 years old or immediately if there is an obvious cause for their infertility or subfertility [16]. Paternal age > or = 40 years: an important risk factor for infertility. The prevalence varies widely, being less in developed countries and more in developing countries where limited resources for investigation and treatment are available [2]. The treatment approach depends on the cause(s) of the infertility. Leptin is a hormone associated with numerous effects including appetite control, inflammation, and decreased insulin secretion, according to many studies. It is further sub-divided into primary and secondary sterility.