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Torsion: Is a common problem affecting fertility that is caused by a supportive tissue abnormality which allows the testes to twist inside the scrotum which is characterized by extreme swelling.  Torsion pinches the blood vessels that feed the testes shut which causes testicular damage.  If emergency surgery is not performed to untwist the testes, torsion can seriously impair fertility and cause permanent infertility if both testes twist. After in vitro fertilization, your doctor transfers the fertilized eggs into your uterus.Oath und seine Partner benötigen Ihre Einwilligung, um auf Ihr Gerät zuzugreifen und Ihre Daten (einschließlich Standort) zu nutzen, um mehr über Ihre Interessen zu erfahren, personalisierte Anzeigen bereitzustellen und deren Effektivität zu messen. As treatment begins, couples may experience cycles of optimism and despair with each passing menstrual cycle. Testicular Neoplasm in Father and Son. (PDF, 561 KB) The Journal of Urology, 1972.

Hypospadias: The urethral opening is under the penis, instead of its tip. Moderate alcohol consumption has not been shown to lower fertility in most men, but it may affect those who already have a low sperm count. If the woman is aged over 35 years, the couple may wish to see a doctor earlier, because fertility testing can take time, and female fertility starts to drop when a woman is in her 30s. Trauma, previous attempts at sperm aspiration, and inguinal surgery may also result in ductal blockage. Vasectomy and Vasectomy Reversal. (PDF, 7 MB) Fertility and Sterility, 1978. It is increasingly recognized that egg quality is of critical importance and women of advanced maternal age have eggs of reduced capacity for normal and successful fertilization.

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In addition to a careful history, a physical evaluation may also be performed. Vasectomy and its Microsurgical Reversal. (PDF, 17 MB) Urologic Clinics of North America, 1978. Management of the infertile couple: an evidence-based protocol.

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Testis Biopsy and the Infertile Male. (PDF, 20 MB) Chapter 15 from textbook Office Andrology, 2005. Metformin (Glucophage): If Clomifene is not effective, metformin may help women with PCOS, especially when linked to insulin resistance.

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Bensdorp AJ, Cohlen BJ, Heineman MJ, Vandekerckhove P. 8,37 Women in WHO group II, including those who are overweight and who have polycystic ovary syndrome, can benefit from weight loss, exercise, and lifestyle modifications to restore ovulatory cycles and achieve pregnancy. Females[edit] The following causes of infertility may only be found in females. What’s on the Mind of IVF Consumers? (PDF, 627 KB) Reproductive BioMedicine Online, 2009. The final third may be due to a combination of both, other factors, or unknown causes. Hormone changes Signs of hormonal changes can be nonspecific, and a person may not notice them or know the underlying cause. 6,8 It is important for primary care physicians to be familiar with the workup and prognosis for infertile couples. Carcinoma in the Bladder Left Behind. (PDF, 3 MB) The Journal of Urology, 1973. 549 KB Effect of Age on Male Fertility. (PDF, 5 MB) Chapter from textbook, Seminars in Reproductive Endocrinology, 1991. Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatment. Vasectomy. (PDF, 5 MB) From the Encyclopedia of Reproduction, 1999.