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Sperm Retrieval for Azoospermia and Intracytoplasmic Sperm Injection Success Rates – A Personal Overview.(PDF, 1 MB) Human Fertility, 2010. The procedure is performed in an outpatient setting in the vast majority of cases, and recovery time can be as little as a few days.

Excess iron from multiple transfusions may get deposited in the pituitary gland and the testis, causing parenchymal damage and both pituitary and testicular insufficiency. The Male-specific Region of the Human Y Chromsome is a Mosaic of Discrete Sequence Classes. (PDF, 754 KB) Nature, 2003. The ovaries can stop working in about 5% of cases.

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Infection and Disease: Mumps, tuberculosis, brucellosis, gonorrhea, typhoid, influenza, smallpox, and syphilis can cause testicular atrophy.  A low sperm count and low sperm motility are indicators of this condition.  Also, elevated FSH levels and other hormonal problems are indicative of testicular damage.  Some STDs like gonorrhea and chlamydia can cause infertility by blocking the epididimis or tubes.  These conditions are usually treated by hormonal replacement therapy and surgery in the case of tubular blockage. Men who are underweight tend to have lower sperm concentrations than those who are at a normal BMI. Your physician will examine you carefully to determine if you have fibroids and if removal is necessary. A relationship also exists between obesity and erectile dysfunction (ED). Another potential symptom is irregular menstruation, where five or more menstrual cycles a year are five or more days shorter or longer than the length of the average cycle.

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The urine specimen must be centrifuged immediately. Vasectomy Reversal. (PDF, 733 KB) The New England Journal of Medicine, 1977.

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Chlamydia test: Chlamydia can affect fertility, but antibiotics can treat it. Close Common Causes of Female Sterility The most common causes of female sterility include: Fallopian tube damage or blockage Ovulation disorders Polycystic ovary syndrome (PCOS) Endometriosis Early menopause Pelvic adhesions Benign uterine fibroids Close Help for Sterility Sexual problems such as impotence or premature ejaculation should be addressed. The medicalization of infertility has unwittingly led to a disregard for the emotional responses that couples experience, which include distress, loss of control, stigmatization, and a disruption in the developmental trajectory of adulthood.[16] Infertility may have psychological effects. Medications Testosterone replacement therapy, long-term anabolic steroid use, cancer medications (chemotherapy), certain antifungal medications, some ulcer drugs and certain other medications can impair sperm production and decrease male fertility. Clinical diagnostic testing for the cytogenetic and molecular causes of male infertility: the Mayo Clinic experience. Intrauterine insemination (IUI): At the time of ovulation, a fine catheter is inserted through the cervix into the uterus to place a sperm sample directly into the uterus. The corollary to this is that, by definition, failure to conceive in women under 35 isn't regarded with the same urgency as it is in those over 35. Vasoepididymostomy to the Head of the Epididymis: Recovery of Normal Spermatozoal Motility. (PDF, 3 MB)Fertility and Sterility, 1980.