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Vasectomy and its Microsurgical Reversal. (PDF, 17 MB) Urologic Clinics of North America, 1978. Thalassemia Patients with thalassemia have ineffective erythropoiesis and undergo multiple blood transfusions. Epidemiology of Sterility and Infertility Sterility and infertility affect about 10 – 15% of couples. The most common of these procedures are removal of all or part of the colon (colectomy), or removal of the kidney (nephrectomy). Causes in men The following are common causes of infertility in men.

M. genitalium infection is associated with increased risk of infertility.[25][26] Genetic[edit] A Robertsonian translocation in either partner may cause recurrent spontaneous abortions or complete infertility.[citation needed] Mutations to NR5A1 gene encoding Steroidogenic Factor-1 (SF-1) have been found in a small subset of men with non-obstructive male factor infertility where the cause is unknown. Hypospadias: The urethral opening is under the penis, instead of its tip.

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She will also undergo a gynecologic examination and a number of tests: Laparoscopy involves inserting a thin tube with a camera on to investigate and possibly remove unwanted tissue. Do you have any medical problems or prior surgeries? Frequency of intercourse Probability of conception (within 6 months) 1 time per week 17 % 3 times per week 50 % 6. Conception and Fertility The chance of conceiving in any given menstrual cycle is less than 20% in a woman of reproductive age.

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549 KB Effect of Age on Male Fertility. (PDF, 5 MB) Chapter from textbook, Seminars in Reproductive Endocrinology, 1991. Preliminary Tests of a New Reversible Male Contraceptive in Bush Dog, Speothos Venaticus: Open-ended Vasectomy and Microscopic Reversal. (PDF, 106 KB) Journal of Zoo and Wildlife, 2006. Seminoma Discovered in Two Males Undergoing Successful Testicular Sperm Extraction for Intracytoplasmic Sperm Injection. (PDF, 807 KB) Human Reproduction, 1995. In some cases, they may prevent a fertilised egg attaching itself to the womb, or they may block a fallopian tube. The epididymis is a coil-like structure in the testicles which helps store and transport sperm. This is where no cause can be identified in either the woman or man.

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Female factor Dysfunction of the female reproductive organs is also apparent in around 40% of infertile couples. The follicle should develop to a diameter of 23-24 mm before a spontaneous LH surge occurs. In cases of poor sperm quality, intrauterine insemination can be performed. Determination of serum E2 and LH levels can also be performed. [203] Treatment of Primary Amenorrhea hMG is the treatment of choice for patients with primary amenorrhea due to hypopituitarism. Other testing may be needed based on circumstances, including testicular biopsy, genetic testing, and imaging (Table 36–8,10,19,20). It has been proven useful in overcoming infertility conditions, such as blocked or damaged tubes, endometriosis, repeated IUI failure, unexplained infertility, poor ovarian reserve, poor or even nil sperm count. Government, the Department of Defense, or the Department of the Air Force. ED may be the consequence of the conversion of androgens to estradiol. It is more successful in women who have previously been pregnant. A history of sexually transmitted infections could be another cause of infertility in either partner. Treatment of Anovulatory Conditions Jump to section + Women with WHO group I ovulatory disorders should be counseled to achieve a normal body weight. Ovulation problems can be a result of:  polycystic ovary syndrome (PCOS) thyroid problems – both an overactive thyroid gland and an underactive thyroid gland can prevent ovulation premature ovarian failure – where a woman's ovaries stop working before the age of 40 Scarring from surgery Pelvic surgery can damage and scar the fallopian tubes, which link the ovaries to the womb. Success rates for induction of ovulation vary considerably and depend on the age of the woman, the type of medication used, the presence of other infertility factors present in the couple and other reasons. Come and meet us to find out more about how we can help you.