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A woman of reproductive age who has not conceived after 1 year of unprotected vaginal sexual intercourse, in the absence of any known cause of infertility. ARTICLES FROM THE 1990s Microsurgery, Andrology, and Its Role in IVF. (PDF, 6 MB) Chapter in text book, Advances in Assisted Reproductive Technology, 1990. Outside pregnancy and lactation, women with high levels of prolactin may have irregular ovulation cycles and fertility problems. 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. Excess alcohol consumption: This may lower male fertility.

A Physical Map of the Human Y Chromosome. (PDF, 160 KB) Nature, 2001. Chromosomal causes and, in particular, Klinefelter syndrome.

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Recovery of Spermatogenesis after Testicle Autotransplantation in an Adult Male. (PDF, 2 MB) Fertility and Sterility, 1982. Basic Work-up for Infertility Detailed history and physical examination. Semen analysis. Evidence of ovulation. (Day 2-3 gonadotrophins, Day 21 progesterone) Susceptibility to rubella Cervical smear screening Screening for Chlamydia trachomatis Serum prolactin Thyroid function tests 12. Semen analysis: - semen volume: 1. A varicocele is a varicose vein found in the scrotum. Luttjeboer F, Harada T, Hughes E, Johnson N, Lilford R, Mol BW. No role for: Post-coital testing for cervical mucous. Endometrial Biopsy. Painful or heavy periods Most women experience cramps with their periods.

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8 Counseling on lifestyle modifications is reasonable because exposures to tobacco and alcohol are associated with lower rates of fertility. Abundant Gene Conversion Between Arms of Palindromes in Human and Ape Y Chromosomes. (PDF, 340 KB)Nature, 2003. It varies with the age (the optimal female age is between 23 and 39 years) and with body weight (the ideal body mass index is between 19 and 30).

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Fertility Evaluation of the Male Partner: Semen Analysis Semen analysis is an essential part of the evaluation. World Health Organization[edit] The World Health Organization defines infertility as follows:[10] United States[edit] One definition of infertility that is frequently used in the United States by reproductive endocrinologists, doctors who specialize in infertility, to consider a couple eligible for treatment is: a woman under 35 has not conceived after 12 months of contraceptive-free intercourse. Women in group III can conceive only with oocyte donation and in vitro fertilization. The initial result of the procedure is not detected before 3 months because spermatogenesis takes 72 days. Anatomic causes of infertility include acquired and congenital problems.