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Some women are infertile because their ovaries do not mature and release eggs. Exposure to chemicals: Pesticides, for example, may increase the risk. Sexually transmitted infections (STIs): Chlamydia can damage the fallopian tubes in a woman and cause inflammation in a man's scrotum. Sermondade N, Faure C, Fezeu L, Lévy R, Czernichow S; Obesity-Fertility Collaborative Group. Products include enzymes and proteases to liquefy the seminal coagulum. Regression of Metastases after Nephrectomy for Renal Cell Carcinoma. (PDF, 1 MB) British Journal of Urology, 1975.

Three main events necessary for pregnancy to occur are: Ovulation: the process by which the mature egg is released from one of the woman’s ovaries. The mature spermatid is then located adjacent to the tubule lumen and contains dark chromatin with an oval-shaped nucleus. If your cycles are infrequent or irregular, your doctor will examine you and perform the appropriate testing to discover which problem you may have and present the appropriate treatment options.

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In GIFT, the sperm and eggs are mixed together before a doctor inserts them. Patients with a grade 1-3 varicocele (visible or palpable) associated with infertility should consider having the varicocele repaired. Edwards; the physiologist who developed the treatment, was awarded the Nobel Prize in Medicine in 2010.

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Anatomic causes of infertility include acquired and congenital problems. The impact of small or single polyps is more controversial. Techniques for the Resolution of Testicular Obstruction. (PDF, 8 MB) Chapter 78 from textbook, Reconstructive Urology, 1992. Men with Infertility Caused by AZFc Deletion can Produce Sons by Intracytoplasmic Sperm Injection, but are Likely to Transmit the Deletion and Infertility. (PDF, 102 KB) Human Reproduction, 1999.

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A failure of GnRH neurons to migrate to the proper location in the hypothalamus has been implicated. Microsurgery of the Male Genitalia for Infertility. (PDF, 8 MB) Chapter 59 from Reconstructive Urologic Surgery, 1994. Sperm or egg donation: If necessary, sperm or eggs can be received from a donor. Counseling about options should be offered to couples who are not physically able to conceive (i.e., same-sex couples or persons lacking reproductive organs). The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999. Veltman-Verhulst SM, Cohlen BJ, Hughes E, Heineman MJ. Heavy, long, or painful periods Heavy periods may indicate an underlying condition affecting fertility. Microscopic Vasovasostomy and Spermatogenesis. (PDF, 1 MB) The Journal of Urology, 1977. After interviewing the couple together, the man and woman should be interviewed separately to obtain confidential information.