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Gynecological history, including operations and medical treatment. The interstitium between the seminiferous tubules contains the Leydig cells, fibroblasts, lymphatics, blood vessels, and macrophages. Ejaculatory duct obstruction Complete and partial ejaculatory duct obstruction has been implicated as a cause of 1-5% of patients with male infertility. This technique is called hand-assist laparoscopy. Ovarian hyperstimulation syndrome (OHSS) usually results from taking medications to stimulate the ovaries, such as clomifene and gonadotrophins.

In cases of poor sperm quality, intrauterine insemination can be performed. 3,4  Infertility may arise from male factors, female factors, or a combination of these (Table 15–8). 6,8,23 A high FSH level (10 to 20 mIU per mL [10 to 20 IU per L]) drawn on day 3 of the menstrual cycle is associated with infertility. Gas tends to rise, and when a pocket of CO2 rises in the abdomen, it pushes against the diaphragm (the muscle that separates the abdominal from the thoracic cavities and facilitates breathing), and can exert pressure on the phrenic nerve.

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549 KB Effect of Age on Male Fertility. (PDF, 5 MB) Chapter from textbook, Seminars in Reproductive Endocrinology, 1991. IVF in action Intracytoplasmic sperm injection (ICSI): A single sperm is injected into an egg to achieve fertilization during an IVF procedure. For example, a woman who has a 33-day cycle one month, a 31-day cycle the next, and a 35-day cycle after that, is probably having “normal” periods. Problems with sperm If a man makes too few sperm or none at all, the woman cannot become pregnant. Smoking during pregnancy increases the chance of pregnancy loss.

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Vasectomy and Vasectomy Reversal. (PDF, 7 MB) Fertility and Sterility, 1978. The vas deferens carries sperm from the epididymis to the ejaculatory duct and the urethra. The Male-specific Region of the Human Y Chromsome is a Mosaic of Discrete Sequence Classes. (PDF, 754 KB) Nature, 2003.

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Judaism and Repoductive Technology. (PDF, 160 KB) 2003. Mannitol Induced Central Nervous System Toxicity in Renal Failure. (PDF, 4 MB) Investigative Urology, 1972. Counseling Fertility clinics should address the psycho-social and emotional needs of infertile couples as well as their medical needs. Women who are at risk, including those on a vegan diet, should ask the doctor about supplements. Risk factors for the formation of antisperm antibodies in men include the breakdown of the blood‑testis barrier, trauma and surgery, orchitis, varicocele, infections, prostatitis, testicular cancer, failure of immunosuppression and unprotected receptive anal or oral sex with men.[23][24] Sexually transmitted infections[edit] Infections with the following sexually transmitted pathogens have a negative effect on fertility: Chlamydia trachomatis and Neisseria gonorrhoeae. The emotional toll on both partners can affect their relationship. Excess iron from multiple transfusions may get deposited in the pituitary gland and the testis, causing parenchymal damage and both pituitary and testicular insufficiency. However, the presence of fibroids alone doesn’t necessarily cause infertility or predispose a woman to pregnancy loss. Where Dreams are Born. (PDF, 2 MB) Jewish Light, 2010.