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Close Diagnosing Sterility If you and your partner have been trying for more than a year to become pregnant, or both of you are over thirty and battling, it is good idea consult your gynecologist, obstetrician or urologist for further investigation. Many of the same surgeries performed in humans can be applied to animal cases – everything from an egg-bound tortoise to a German Shepherd can benefit from MIS. Exposure to chemicals: Pesticides, for example, may increase the risk.

Fertility Evaluation of the Male Partner: Other Tests Other tests for men include: Urine analysis to rule out an infection. Microscopic Vasectomy Reversal 30 Years Later: A Summary of 4010 Cases by the Same Surgeon. (PDF, 295 KB)Journal of Andrology, 2004.

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Used by some clinicians to evaluate the motility of the sperm and its ability to travel through the cervical mucus. This may be because the ovaries do not contain eggs. 42 Urinary luteinizing hormone kits indicate the midcycle luteinizing hormone surge that precedes ovulation by one to two days. 6 Accuracy may be improved by use on midday or evening urine specimens, which correlate better with the peak in serum luteinizing hormone levels. Algorithm for infertility evaluation. (ART = assisted reproductive technology.) Infertility Evaluation Figure 1. Obesity and increased risk for oligozoospermia and azoospermia.

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Veltman-Verhulst SM, Cohlen BJ, Hughes E, Heineman MJ. About 92 out of 100 couples who are trying to get pregnant do so within two years.[citation needed] Women become less fertile as they get older. 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. Patients have eunuchoidal body habitus, large testis, and a low ejaculatory volume.

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New Concepts in Operative Andrology: A Review. (PDF, 7 MB) International Journal of Andrology, 2000. Linthicum, Md.: American Urological Association, Inc.; 2010. Bushnik T, Cook JL, Yuzpe AA, Tough S, Collins J. During emission, sperm are propelled forward by peristalsis. Carcinoma in the Bladder Left Behind. (PDF, 3 MB) The Journal of Urology, 1973. Which drug can be used for induction of ovulation? There are many disorders that may impact the ability for a woman to ovulate normally. Traumatic Renal Hemorrhage Treatment by Arterial Embolization. (PDF, 3 MB) The Journal of Urology, 1973. This is where no cause can be identified in either the woman or man. The mature spermatid is then located adjacent to the tubule lumen and contains dark chromatin with an oval-shaped nucleus. Primary sterility exists when the couple has never fallen pregnant and secondary sterility when the issue arises following one successful pregnancy but no further pregnancies. Human chorionic gonadotropin (Ovidrel, Pregnyl): Used together with clomiphene, hMG, and FSH, this can stimulate the follicle to ovulate. Enzymatic Digestion of Testicular Tissue May Rescue the Intracytoplasmic Sperm Injection Cycle in Some Patients with Non-obstructive Azoospermia. (PDF, 66 KB) Human Reproduction, 1998. Transplantation of a Human Testis for Anorchia. (PDF, 19 MB) Fertility and Sterility, 1978. An evaluation by a physician is the only way to sort it out.