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Estrogen excess may be seen in patients with Sertoli cell tumors, Leydig tumors, liver failure, or severe obesity. Microsurgical Epididymal Sperm Aspiration and Assisted Reproductive Techniques. (PDF, 4 MB) Frontiers in Human Reproduction, 1991.

Primary infertility refers to cases in which no pregnancy has gone satisfactorily full term. Medical treatments[edit] Medical treatment of infertility generally involves the use of fertility medication, medical device, surgery, or a combination of the following. The chance of a multiple birth is lower with an oral fertility drug. In addition to a careful history, a physical evaluation may also be performed.

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Unexpected resilience of species with temperature-dependent sex determination at the Cretaceous–Palaeogene boundary. (PDF, 238 KB) Biology Letters, 2010. Inhibin B levels have been reported to decrease with increasing weight, which results in decreased Sertoli cells and sperm production.

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This whole process hinges on there being proper levels of testosterone and other hormones as well as correct signaling from the nervous system. Abundant Gene Conversion Between Arms of Palindromes in Human and Ape Y Chromosomes. (PDF, 340 KB)Nature, 2003. Metformin (Glucophage) is another type of medication that may help you ovulate normally if you have insulin resistance or PCOS (polycystic ovarian syndrome).

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Genetics of Male Infertility: Evolution of the X and Y Chromosome and Transmission of Male Infertility to Future Generations. (PDF, 10 MB) Chapter 5 from Essential IVF, 2004. Omitting unnecessary investigations, in particular couples, could reduce total cost of their infertility management without compromising their success rate. Y Chromosome Deletions in Azoospermic and Severely Oligozoospermic Men Undergoing Intracytoplasmic Sperm Injection after Testicular Sperm Extraction. (PDF, 336 KB) Human Reproduction, 1998. Follicular puncture Embryo transfer Ovarian stimulation Postcoital test In-vitro cultivation 3. History-taking Couples with infertility problem should be interviewed separately as well as together, to bring out important facts that one partner might not wish to disclose to the other. The elevation in the temperature is indicative of ovulation. The impact of fibroids located elsewhere in the uterus are controversial and do not always require surgery. Castration of the affected testis may allow the other testis to regain its ability to produce sperm, but the prognosis is guarded.