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A review of systems and physical examination of the endocrine and gynecologic systems should be performed. However, it is important to note that they are not necessarily all displayed simultaneously.

Studies on Testicular Biopsies from Vasectomized Men. (PDF, 18 MB) Chapter 21 from Vasectomy: Immunologic and Pathophysiologic Effects in Animals and Man, 1979. Sexual history – One of the purposes of obtaining a sexual history is to determine whether the partners have any sexual disturbance or dysfunction. Do you have any medical problems or prior surgeries? The treatment of uterine malformations depends on the severity of the problem.

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6,8 It is important for primary care physicians to be familiar with the workup and prognosis for infertile couples. Regression of Metastases after Nephrectomy for Renal Cell Carcinoma. (PDF, 1 MB) British Journal of Urology, 1975.

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They can also carry out some basic tests on both partners to see if there is an identifiable reason for not having achieved a pregnancy. Treatment of Renal Trauma by Angiographic Injection of Autologous Clot. (PDF, 422 KB) British Journal of Urology, 1974. Spermatid Conception. (PDF, 1 MB) Human Reproduction, 1998. In these methods, fertilization occurs inside the body. Luttjeboer F, Harada T, Hughes E, Johnson N, Lilford R, Mol BW.

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The maximum recommended dosage is 150 mg/day for 5 days. Obesity and increased risk for oligozoospermia and azoospermia. Low sperm mobility (motility): The sperm cannot "swim" as well as they should to reach the egg. Environmental toxins, including pesticides and lead. Microscopic Vasovasostomy and Spermatogenesis. (PDF, 1 MB) The Journal of Urology, 1977. 10 Data Sources: A PubMed search was completed using the key terms infertility, subfertility, treatment, etiology, and diagnosis. Idiopathic Hypercalciuria. (PDF, 1 MB) New England Journal of Medicine, 1971. Being obese or overweight: This can increase the risk of infertility in women as well as men. Those with isolated right-sided varicoceles should be evaluated for retroperitoneal pathology. Linthicum, Md.: American Urological Association, Inc.; 2010. Progesterone deficiency can be corrected by the administration of progesterone during the luteal phase, starting 48 hours after ovulation. [204] Patients with hyperprolactinemia need a thorough evaluation to exclude a pituitary microadenoma. Not long after, the United States delivered its first IVF baby, and the use of IVF has grown dramatically. 8,33,35,36 Lastly, in vitro fertilization, with or without intracytoplasmic sperm injection, is the mainstay of assisted reproductive technology for male factor infertility. Judaism and Reproductive Technology. (PDF, 2 MB) 2010. As the major causes of infertility are sperm abnormalities, ovulation dysfunction, and fallopian tube obstruction, the preliminary adviced investigations for the infertile couple should be focused on semen analysis (to be compared with the WHO reference values [27]), detection of ovarian function by hormonal assay (early follicular FSH and LH levels, and mid-luteal progesterone), and evaluation of tubal patency by hysterosalpingography (HSG) [17-32], (Appendix 3).