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Microsurgery for the Undescended Testicle. (PDF, 5 MB) Urologic Clinics of North America, 1982. View Media Gallery Sperm next enter the vas deferens, a 30- to 35-cm muscular conduit of Wolffian duct origin.

Prevalence of Premature Ovarian Failure in Monozygotic and Dizygotic Twins. (PDF, 90 KB) Human Reproduction, 2007. Polycystic ovarian syndrome (PCOS) is one of the most common disorders impacting ovulation.

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Obtaining morning levels of total testosterone (normal range = 240 to 950 ng per dL [8. The Treatment of Azoospermia with Surgery and ICSI. (PDF, 4 MB) Chapter 10 from Male Fertility & Infertility, 1998.

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Age, socio-economic, cultural and other environmental factors: Over the last few years, age has become the most common of these causes of infertility. It is usually not the natural state of a healthy adult, except notably among certain eusocial species (mostly haplodiploid insects). The quality of the cervical mucus can be improved with the administration of a small dose of estrogens, or the problem can be bypassed by intrauterine insemination. [163, 209] If the follicle is smaller than 23-24 mm at the time of ovulation, a better size can be obtained by starting the CC therapy on the menstrual cycle day 2. A Modern View of Male Infertility. (PDF, 7 MB) From The Infertile Male: Advanced Assisted Reproductive Technology, 1994. Clinical Asst Professor, Obstetrics and Gynecology. Programming of Ovarian Stimulation with Norethindrone Acetate in IVF/GIFT Cycles. (PDF, 2 MB) Human Reproduction, 1989.

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Options include intrauterine insemination (also known as IUI) or IVF with intracytoplasmic sperm injection (also known as ICSI). Treatment of the cause: 25. Ovulation disorders: (Group II “PCO”) 1. Hypospadias: The urethral opening is under the penis, instead of its tip. Intercourse 2 or 3 times per week may be considered average, although the frequency varies. In humans, infertility is the inability to become pregnant after one year of intercourse without contraception involving a male and female partner.[2] There are many causes of infertility, including some that medical intervention can treat.[3] Estimates from 1997 suggest that worldwide about five percent of all heterosexual couples have an unresolved problem with infertility. Small, firm testicles The testes house a man’s sperm, so testicle health is paramount to male fertility. Diet: A lack of folic acid, iron, zinc, and vitamin B-12 can affect fertility. Outside pregnancy and lactation, women with high levels of prolactin may have irregular ovulation cycles and fertility problems.