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She will also undergo a gynecologic examination and a number of tests: Laparoscopy involves inserting a thin tube with a camera on to investigate and possibly remove unwanted tissue. National Collaborating Centre for Women's and Children's Health. The Effect of Female Age and Ovarian Reserve on Pregnancy Rate in Male Infertility: Treatment of Azoospermia with Sperm Retrieval and Intracytoplasmic Sperm Injection. (PDF, 66 KB) Human Reproduction, 1997. Primary infertility is when a couple has not conceived after trying for at least 12 months without using birth control Secondary infertility is when they have previously conceived but are no longer able to.

Editorial: The Cure and Proliferation of Male Infertility. (PDF, 2 MB) The Journal of Urology, 1998. According to the literature survey, the most common causes of infertility are: male factor [5,7-9,13-15] such as sperm abnormalities [9,13,15], female factor [7-9,14-16] such as ovulation dysfunction [7,8] and tubal pathology [7-9], combined male and female factors [7,9,14,15] and unexplained infertility; where no obvious cause could be detected [7-9]. Gynecological history, including operations and medical treatment.

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Inhibin B levels have been reported to decrease with increasing weight, which results in decreased Sertoli cells and sperm production. IVF and related techniques (ICSI, ZIFT, GIFT) are called assisted reproductive technology (ART) techniques. The presence of antibodies in serum or seminal plasma is less prognostic than antibodies bound to sperm. Adhesions with the surrounding tissue can develop as well, and reduce the motility of the tubes.

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25 Women with no clear risk of tubal obstruction should be offered hysterosalpingography to screen for tubal occlusion and structural uterine abnormalities. Treatment of tubal obstruction generally requires referral for subspecialty care. Passive smoking has also been linked to lower fertility. Microscopic Vasectomy Reversal. (PDF, 31 MB) Fertility and Sterility, 1977. Uterine fibroids Fibroids are noncancerous growths in the uterus. Pelvic ultrasonography can be used once a week until the dominant follicle is detected; once this occurs, ultrasonography can be used more frequently until ovulation occurs.

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Histologically, Leydig cells are polygonal with eosinophilic cytoplasm. The prostate also secretes zinc, phospholipids, phosphatase, and spermine. Men can still ejaculate with a low sperm count or poor-quality sperm. Sherman Silber: Be Fruitful and Multiply. (PDF, 6 MB) Lifestyles Magazine, 1999. ARTICLES FROM THE 1990s Microsurgery, Andrology, and Its Role in IVF. (PDF, 6 MB) Chapter in text book, Advances in Assisted Reproductive Technology, 1990. Obtaining morning levels of total testosterone (normal range = 240 to 950 ng per dL [8.