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During this time, the cells cross from the basal to the adluminal compartments. There's a link between increased temperature of the scrotum and reduced semen quality, but it's uncertain whether wearing loose-fitting underwear improves fertility.  Testicles The testicles produce and store sperm. PDF Articles by Decade: 1970s | 1980s | 1990s | 2000s | 2010s ARTICLES FROM THE 1970s Active Lupus Glomerulitis and Hematoxylin Bodies with Normal Urinalysis. (PDF, 5 MB) The Journal of Urology, 1971. Infrequent and light menstruation occurs in about 40% of women with ovulatory dysfunction. Round Spermatid Injection. (PDF, 422 KB) Fertility and Sterility, 2000. Sometimes, female infertility is related to a hormone problem.

Varicocele and male factor infertility treatment: a new meta-analysis and review of the role of varicocele repair. Ovulation often can be detected by keeping a menstrual calendar or using an ovulation predictor kit. CC has been in clinical use since the early 1960s. Gonadotropin releasing hormone analogs (GnRH-a) are synthetic peptides whose structure is similar to the natural GnRH. Medications in use for this effect are mainly clomifene citrate and tamoxifen (both being selective estrogen-receptor modulators), as well as letrozole (an aromatase inhibitor.[17] Follicle-stimulating hormone (FSH), directly stimulating the ovaries.

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The administration of hMG and its derivatives should be under the direct supervision of a reproductive endocrinologist. Graft-versus-host Reactivity and Renal Allograft Survival in Rats Given Allogeneic Spleen Cells or Spleen Allografts.(PDF, 2 MB) Transplantation, 1976. Infection and Disease: Mumps, tuberculosis, brucellosis, gonorrhea, typhoid, influenza, smallpox, and syphilis can cause testicular atrophy.  A low sperm count and low sperm motility are indicators of this condition.  Also, elevated FSH levels and other hormonal problems are indicative of testicular damage.  Some STDs like gonorrhea and chlamydia can cause infertility by blocking the epididimis or tubes.  These conditions are usually treated by hormonal replacement therapy and surgery in the case of tubular blockage. 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. Treatment of Secondary Amenorrhea and Oligo-ovulation Once the diagnosis is established and any other endocrinopathy has been excluded, the ovulation induction agent of choice depends on a functioning hypothalamic-pituitary-ovarian axis.

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Modifiable and non-modifiable risk factors for poor semen quality: a case-referent study. Its treatment depends on the etiologic factor, but, in many instances, the underlying cause remains unknown. Intracytoplasmic Sperm Injection. (PDF, 4 MB) Chapter 47 from textbook Current Therapy in Equine Reproduction, 2006. A typical infection is particularly the adnexitis from Chlamydia, but also infections from Trepona pallidum (lues) and Neisseria gonorrhoea should be kept in mind.

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A doctor or WHNP takes a medical history and gives a physical examination. In addition, infertility is considered also a public problem. High-cost treatments are out of financial reach for some couples. Additionally, multiple pregnancies cumulatively occur after ovarian stimulation. If the GI symptoms persist, the medication can be administered intravaginally. Infertility in Men Below you will find a list of some of the most common causes of infertility in men. Known male factor semen abnormalities: If a male partner has a history of infertility with a prior partner, or if there are abnormalities on his semen analysis, then we advise earlier fertility evaluation, ideally within 6 months of attempting pregnancy.