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Tubal obstructions can precisely be localized like this. Hyperprolactinemia: If prolactin levels are high, and the woman is not pregnant or breastfeeding, it may affect ovulation and fertility. Testis Biopsy and the Infertile Male. (PDF, 20 MB) Chapter 15 from textbook Office Andrology, 2005. Because of the intimate relationship between the fallopian tubes and the other pelvic organs and because, in the great majority of the cases, peritoneal pathology involves tubal pathology, the treatments of these factors are discussed together. The following problems are possible: Low sperm count: The man ejaculates a low number of sperm.

Sperm counts can fluctuate, so that several samples may be necessary. Ovarian Transplantation between Monozygotic Twins Discordant for Premature Ovarian Failure. (PDF, 315 KB) The New England Journal of Medicine, 2005.

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Your physician will refer you to a reproductive urologist if appropriate. Acquired anestrus may result from previous oophorectomy, exogenous hormonal treatment (including glucocorticoids), profound hypothyroidism, or ovarian disease (cysts or neoplasia).

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Microscopic Vasovasostomy and Spermatogenesis. (PDF, 1 MB) The Journal of Urology, 1977. Women with anovulation may be treated in the primary care setting with clomiphene to induce ovulation. The testicles will be checked for lumps or deformities, and the shape and structure of the penis will be examined for abnormalities.

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This is called the fulcrum effect.[22] Some surgeries (carpal tunnel for instance) generally turn out better for the patient when the area can be opened up, allowing the surgeon to see "the whole picture" surrounding physiology, to better address the issue at hand. Germ cells and white blood cells both appear as round cells on microscopic examination, so immunohistochemical stains are used to differentiate the 2 cell types. In the testicle, germ cells (especially up to the preleptotene stage) are especially at risk. Endometriosis may be treated through laparoscopic surgery. Because the sperm have a short life span outside the human body, the semen specimen must be evaluated within a short time frame. Human chorionic gonadotropin (Ovidrel, Pregnyl): Used together with clomiphene, hMG, and FSH, this can stimulate the follicle to ovulate. Histologic endometrial dating is not considered reliable nor is it predictive of fertility.