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Radiopaque dye is instilled into the uterine cavity through the cervix and x-rays are taken. 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. Medications, treatments, and drugs Some drugs can affect fertility in a woman.

Patients present with short stature, precocious puberty, small testis, and occasional bilateral testicular rests. Pregnancy with Sperm Aspiration from the Proximal Head of the Epididymis: A New Treatment for Congenital Absence of the Vas Deferens. (PDF, 2 MB) Fertility and Sterility, 1988. Bhaskar Dutta/Photoshare Clinical definitions Infertility is “a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse.”… (WHO-ICMART glossary1). “Infertility is the inability of a sexually active, non-contracepting couple to achieve pregnancy in one year. Additional risk factors may include smoking, alcohol use, obesity, and older age; however, the data are hampered by a lack of pregnancy-related outcomes.

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Erectile dysfunction Erectile dysfunction is when a man cannot get or keep an erection (get hard) for sex. Hysteroscopy can also be combined with laparoscopy when necessary. Sherman Silber: Be Fruitful and Multiply. (PDF, 6 MB) Lifestyles Magazine, 1999. The likelihood of fertilization improves significantly for men with low sperm concentrations. Debate over whether health insurance companies (e.g. in the US) should be required to cover infertility treatment. Clinical Characterization of 42 Oligospermic or Azoospermic Men with Microdeletion of the AZFc Region of the Y Chromosome, and of 18 Children Conceived via ICSI. (PDF, 606 KB) Human Reproduction, 2002.

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The eggs may never be released or they may only be released in some cycles. ARTICLES FROM THE 1990s Microsurgery, Andrology, and Its Role in IVF. (PDF, 6 MB) Chapter in text book, Advances in Assisted Reproductive Technology, 1990. Testosterone therapy may allow patients to achieve normal height but does not improve spermatogenesis. 1 Among couples 15 to 44 years of age, nearly 7 million have used infertility services at some point.

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In addition to the alteration of menstrual periods and infertility, chronic anovulation can cause or exacerbate other long term problems, such as hyperandrogenism or osteopenia. The most commonly prescribed injections that stimulate the ovary are called gonadotropins. The chance of a multiple birth is lower with an oral fertility drug. For an appendectomy, the right shoulder can be particularly painful. Causes of infertility include genetic abnormalities, certain acute and chronic diseases, exposure to certain environmental toxins, smoking, and excessive alcohol use (2). Leydig cell function is impaired, and most patients are infertile due to primary testicular failure. Debate: Are Spermatid Injections of any Clinical Value? (PDF, 6 MB) Human Reproduction, 1998. Microsurgery of the Male Genitalia for Infertility. (PDF, 8 MB) Chapter 59 from Reconstructive Urologic Surgery, 1994. The use of aromatase inhibitors for ovulation induction in premenopausal women is controversial due to the possibility of fetal toxicity and fetal malformations raised by one abstract. [172] However, 2 subsequent publications have shown no evidence of fetal malformations with the letrozole and no difference in birthweight compared with spontaneous conceptions. [173, 174] Furthermore, based on the half-life of each drug, administration in the early follicular phase should result in clearance of the aromatase inhibitors before implantation takes place. These abnormalities can also cause irregular bleeding between menstrual cycles.