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Vasectomy and Vasectomy Reversal. (PDF, 7 MB) Fertility and Sterility, 1978. You can find much more information about your privacy choices in our privacy policy. In-vitro fertilization and donor insemination are major procedures involved. Etiology of Sterility Causes of sterility can be manifold and diverse. 1 Among couples 15 to 44 years of age, nearly 7 million have used infertility services at some point. A sperm count of under 15 million is considered low.

For instance, women with hyper or hypo-thyroidism sometimes have ovulation problems. 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. Ejaculatory Duct Obstruction. (PDF, 3 MB) The Journal of Urology, 1980. Intracytoplasmic Sperm Injection. (PDF, 4 MB) Chapter 47 from textbook Current Therapy in Equine Reproduction, 2006.

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Open-ended Vasectomy, Sperm Granuloma, and Postvasectomy Orchialgia. (PDF, 13 MB) Fertility and Sterility, 1979. This should be followed by documentation of ovulation via serum progesterone. Gonadotrophins for idiopathic male factor subfertility.

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MESA or TESA? (PDF, 115 KB) Human Reproduction, 1996. Check out our online medical courses and start now for free! If pregnancy has not been established within a reasonable time, further evaluation and/or an alternative treatment plan should be considered.

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A prolactin level of more than 150 mcg/L suggests a pituitary adenoma, while levels greater than 300 mcg/L are nearly diagnostic. Submucosal fibroids are the type if fibroid that has clearly been demonstrated to reduce pregnancy rate, roughly by 50%, and removal of which will double pregnancy rate. It can either be used to inspect and diagnose certain conditions or to surgically correct an abnormality such as removing scar tissue, endometriosis, or a damaged fallopian tube. Microsurgery in Pediatric Urology. (PDF, 13 MB) The National Foundation, 1977. 8 Couples with unexplained infertility may want to consider another year of intercourse before moving to more costly and invasive therapies, such as assisted reproductive technology. Primary infertility When a woman is unable to ever bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth she would be classified as having primary infertility. The doctor may ask about the couple's sexual habits and make recommendations regarding these. Modifiable and non-modifiable risk factors for poor semen quality: a case-referent study. Being obese or overweight: This can increase the risk of infertility in women as well as men. Unexplained causes of infertility and sterility Unfortunately, a basic fertility analysis cannot provide an answer for all causes of infertility and some remain unexplained. Pretesticular causes of infertility Pretesticular causes of infertility include congenital or acquired diseases of the hypothalamus, pituitary, or peripheral organs that alter the hypothalamic-pituitary axis. Renal Echinococcus. (PDF, 1 MB) The Journal of Urology, 1972.