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On the other hand, excess weight can also create ovarian dysfunctions. Mental stress: This may affect female ovulation and male sperm production and can lead to reduced sexual activity. 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. Cystic Fibrosis and Infertility Caused by Congenital Bilateral Absence of the Vas Deferens and Related Clinical Entities. (PDF, 2 MB) Human Reproduction, 1996. Sperm or egg donation: If necessary, sperm or eggs can be received from a donor.

Transplantation of a Human Testis for Anorchia. (PDF, 19 MB) Fertility and Sterility, 1978. During the first two years after menarche 50% of the menstrual cycles could be anovulatories. In reproductive medicine, the most common surgical procedures are laparoscopy, hysteroscopy, and abdominal myomectomy (removal of uterine fibroids). The Three-kidney Rat Model. (PDF, 2 MB) Investigative Urology, 1974. 7) Endometriosis: Endometriosis is a condition whereby cells very similar to the ones lining the uterine cavity, or endometrium, are found outside the uterine cavity.

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Microsurgery for Vasectomy Reversal and Vasoepididymostomy. (PDF, 13 MB) Urology, 1984. Some causes, such as hyperprolactinemia, are reversible with proper treatment. It must be kept in mind that a woman is no longer fertile around six years prior to the menopause. During the first two years after menarche 50% of the menstrual cycles could be anovulatories. Clinical Characterization of 42 Oligospermic or Azoospermic Men with Microdeletion of the AZFc Region of the Y Chromosome, and of 18 Children Conceived via ICSI. (PDF, 606 KB) Human Reproduction, 2002. Pulsatile GnRH and HCG have been used but result in only 20% achieving complete spermatogenesis.

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Growth of Baby Kidneys Transplanted into Adults. (PDF, 1 MB) Archives of Surgery, 1976. High-cost treatments are out of financial reach for some couples. Treatment of tubal obstruction generally requires referral for subspecialty care.

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Once again this may increase case lengths but costs are greatly reduced (ideal for developing countries) and widespread accidents of loose clips are eliminated.[citation needed] Gynecological diagnosis[edit] In gynecology, diagnostic laparoscopy may be used to inspect the outside of the uterus, ovaries, and fallopian tubes, as, for example, in the diagnosis of female infertility. If no improvement occurs, depending on the amount of functional sperm recovery after the sperm wash, the decision must be made to proceed with either intrauterine insemination or in vitro fertilization. Sperm retrieval for azoospermia and intracytoplasmic sperm injection success rates – A personal overview. (PDF, 1 MB) Human Fertility, 2010. On Regenerating the Ovary and Generating Controversy. (PDF, 37 KB) Cell, 2005. Histological dating of timed endometrial biopsy tissue is not related to fertility status. Small or firm testicles that feel "tight" may be another sign of hormone issues.