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For these reasons, minimally invasive surgery has emerged as a highly competitive new sub-specialty within various fields of surgery. Testis Biopsy and the Infertile Male. (PDF, 20 MB) Chapter 15 from textbook Office Andrology, 2005. No periods It’s not uncommon for women to have an off month here and there. Your doctor will carry out a series of tests to diagnose what’s causing your fertility difficulties.  There are many reasons why you may have problems conceiving, including:  Your sperm does not have the concentration, motility or shape required to conceive Existing medical conditions that affect your fertility, such as issues with sperm production or duct obstructions  Your sperm may not be strong or healthy enough to fertilise your partner’s egg  As your partner gets older, her fertility quickly declines3 Depending on the cause, your doctor will recommend a treatment path for you. For this reason, it is less likely to adversely affect the endometrium and cervical mucus. A sperm count of under 15 million is considered low.

A rapid slide agglutination test (RSAT) kit to detect serum antibodies is commercially available. World Health Organization reference values for human semen characteristics. The most common technique of artificial insemination in human beings is intrauterine insemination. If a lack of sperm is suspected, surgery, hormones and assisted reproductive surgery can correct the problem.

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What’s on the Mind of IVF Consumers? (PDF, 627 KB) Reproductive BioMedicine Online, 2009. If the sperm are of good quality and the mechanics of the woman's reproductive structures are good (patent fallopian tubes, no adhesions or scarring), a course of ovulation induction maybe used. Ovulation induction is somewhat different from controlled ovarian hyperstimulation, which involves the use of some of the same medications to stimulate the development of multiple mature follicles and eggs in order to increase pregnancy rates with various infertility treatments. Medicines are usually given to the woman first to increase the number of eggs she releases. Nonfunctional pituitary tumors may compress the pituitary stalk or the gonadotropic cells, interrupting the proper chain of signals leading to pituitary failure. Today, it is feasible by using a gestational carrier.

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There may be testicular malformations, hormone imbalance, or blockage of the man's duct system. If a blockage is present, surgery may be necessary. Coutifaris C, Myers ER, Guzick DS, et al.; NICHD National Cooperative Reproductive Medicine Network. Thalassemia Patients with thalassemia have ineffective erythropoiesis and undergo multiple blood transfusions.

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Some suggest that the number of times a couple has intercourse should be reduced to increase sperm supply, but this is unlikely to make a difference. In cats, infectious causes of infertility include toxoplasmosis, feline leukemia virus infection, feline infectious peritonitis, and feline viral rhinotracheitis. The dynamics of stress in fertile and infertile couples. Microsurgical Aspects of Varicocele. (PDF, 9 MB) Fertility and Sterility, 1979. ARTICLES FROM THE 2000s Evaluation and Treatment of Male Infertility. (PDF, 17 MB) Clinical Obstetrics and Gynecology, 2000. Most typical are decreased libido, erectile dysfunction, orgasmic dysfunction, and ejaculatory dysfunction.