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Diagnosis is based on history, physical examination, biochemical evaluation, ultrasonography, and laparotomy. First Fallopian Tube-Ovary Transplant Carried Out. (PDF, 2 MB) Welcome Trends in Ob/Gyn, 1985.

Psychological/Physical/Behavioral Problems: Several sexual problems exist that can affect male fertility.  These problems are most often both psychological and physical in nature:  it is difficult to separate the physiological and physical components. Various parameters are measured, such as ejaculate volume and sperm density, quality, motility, and morphology. The epididymis is a coil-like structure in the testicles which helps store and transport sperm. Implantation: the process when the fertilized egg attaches to the uterine wall. Mental stress: This may affect female ovulation and male sperm production and can lead to reduced sexual activity. 34 Although intrauterine insemination has been shown to be equally effective as timed intercourse in unstimulated cycles, there is a modest increase in live birth rates when combined with ovarian stimulation.

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Old cervix disruptions or infections of the cervical canal are a possible cause. For one, don’t do things to hurt your chances to have viable sperm — marijuana, cocaine, tobacco, and more than two alcoholic drinks a day harm sperm production, says Ross. A woman comes to your consultation-hour and you diagnose an ovarian hyperstimulation syndrome.

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The views expressed in this material are those of the authors, and do not reflect the official policy or position of the U. It is important to establish whether or not the couple really wants to have a child.

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Endometriosis Endometriosis is when the tissue of the uterine lining grows outside of the uterus. In reproductive medicine, the most common surgical procedures are laparoscopy, hysteroscopy, and abdominal myomectomy (removal of uterine fibroids). Diagnosis Most people will visit a physician if there is no pregnancy after 12 months of trying. As treatment begins, couples may experience cycles of optimism and despair with each passing menstrual cycle. Varicoceles are generally asymptomatic, and most men with varicoceles do not have infertility or testicular atrophy. It was broken down into male and female categories. After stimulation, the physician surgically extracts one or more eggs from the ovary, and unites them with sperm in a laboratory setting, with the intent of producing one or more embryos. Mutations in the Cystic Fibrosis Gene in Patients with Congenital Absence of the Vas Deferens. (PDF, 5 MB) New England Journal of Medicine, 1995.