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Varicocele The veins in a man’s scrotum (sac) can become too large. Source : Preserving your fertility - University of Kansas Hospital PPT Presentation Summary : Preserving your fertility. Ovulation disorders About one quarter of infertility cases are due to ovulation disorders. A Modern Approach to Male Infertility. (PDF, 2 MB) Serono Symposia, Insights Into Infertility Newsletter, 1997.

Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989. Debate over whether health insurance companies (e.g. in the US) should be required to cover infertility treatment. There are a number of advantages to the patient with laparoscopic surgery versus the more common, open procedure. Fertilizing Capacity of Epididymal and Testicular Sperm with ICSI. (PDF, 5 MB) Frontiers in Endocrinology, 1995. 4) In Vitro Fertilization (IVF): In vitro means “outside the body.” IVF is a process whereby eggs are collected and then fertilized by sperm outside the body, in an embryology laboratory. Treatment of Hemorrhage from Renal Trauma by Angiographic Injection of Clot. (PDF, 1 MB) The Journal of Urology, 1978.

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For example, endometriosis can cause infertility with the growth of endometrial tissue in the Fallopian tubes or around the ovaries. Check out our online medical courses and start now for free! Endometriosis can only be confirmed by surgery, usually laparoscopy. Summary Infertility is a significant medical and social problem affecting couple worldwide. It is a sensitive issue that should be handled with great care with continuous professional counselling. Most young couples will conceive naturally within 2 years. Evaluation of both partners for causes is essential. Treatment depends on the cause, and varies from medical treatment to surgery to ART.

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Duration of Fertility after Fresh and Frozen Ovary Transplantation. (PDF, 606 KB) Fertility and Sterility, 2010. These time intervals would seem to be reversed; this is an area where public policy trumps science. It is important to tell a doctor if excessive mental and emotional stress develop. 4 IU per L]) can help differentiate between primary and secondary disorders.

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It is more successful in women who have previously been pregnant. Being obese or overweight: This can increase the risk of infertility in women as well as men. In such circumstances, it is recommended not to prescribe any medication until all basic investigations are done and its results received. These time intervals would seem to be reversed; this is an area where public policy trumps science. Hystersalpingography (HSG): - usually after failed successive cycles of ovulation induction, and in some centres after failed IUI. - good predictive but requires expertise. Uterine fibroids Fibroids are noncancerous growths in the uterus. They can include: Changes in hair growth Changes in sexual desire Pain, lump, or swelling in the testicles Problems with erections and ejaculation Small, firm testicles   When to See the Doctor If you are under 35 and have been trying to get pregnant without success for a year, see your doctor. Damaged Sperm Ducts: Seven percent of infertile men cannot transport sperm from their testicles to out of their penis.  This pathway may be blocked by a number of conditions: · A genetic or developmental mistake may block or cause the absence of one or both tubes (which   transport the sperm from the testes to the penis). · Scarring from tuberculosis or some STDs may block the epididymis or tubes. · An elective or accidental vasectomy may interrupt tube continuity. It can also help if a man has severe erectile dysfunction.