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The secondary spermatocytes undergo a second meiosis and become spermatids. The man must be producing healthy sperm in quantities large enough to fertilize an egg cell. Ectopic pregnancy This is when a fertilized egg implants outside the womb, usually in a fallopian tube. RE: The Impalpable Testis: A Rational Approach to Management. (PDF, 389 KB) The Journal of Urology, 1979.

Endometriosis Endometriosis is when the tissue of the uterine lining grows outside of the uterus. The Relationship of Abnormal Semen Values to Pregnancy Outcome. (PDF, 770 KB) Chapter 10 from textbook, 1992. Treatment of Anovulatory Conditions Jump to section + Women with WHO group I ovulatory disorders should be counseled to achieve a normal body weight.

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This technological innovation provided the means to project a magnified view of the operative field onto a monitor and, at the same time, freed both the operating surgeon's hands, thereby facilitating performance of complex laparoscopic procedures. Do you have any medical problems or prior surgeries? The patients often suffer from appearances of virilization and manlike hair patterns. In this case, your doctor may recommend surgically extracting sperm from part of your reproductive tract to help you to conceive.

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This whole process hinges on there being proper levels of testosterone and other hormones as well as correct signaling from the nervous system. ICSI with Epididymal and Testicular Sperm in Azoospermic Men. (PDF, 2 MB) From Treatment of Infertility: The New Frontiers, 1998. Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatment. Microsurgery for Vasectomy Reversal and Vasoepididymostomy. (PDF, 13 MB) Urology, 1984. Treatment The cost of infertility treatment is high [34]. With this treatment, the patient experience spermatogenesis, and therefore, it has the chance to have offspring if he wants to.

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These include advancing maternal age, severe male factor infertility (whereby ICSI can be used to fertilize the egg), and endometriosis, amongst many others. Excess alcohol consumption: This may lower male fertility. The pregnancy rate fluctuates from 20-35%, and the expected ectopic pregnancy rate is as high as 20%. A mouse study has suggested that ingredients in some household detergents may reduce fertility. In patients with varicocele, there is insufficient evidence to suggest corrective surgery will increase live birth rates, despite improvement in semen analysis results.