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Exposure to toxic agents can occur from occupational hazards or contaminated air, water, food supply or other exposures. ARTICLES FROM THE 2000s Evaluation and Treatment of Male Infertility. (PDF, 17 MB) Clinical Obstetrics and Gynecology, 2000. Embryo Development after ICSI Using Testicular, Epididymal and Ejaculated Spermatozoa. (PDF, 2 MB) Frontiers in Endocrinology, 1995.

Drugs, assisted reproductive technology, and surgery are common treatments. The Use of Epididymal Sperm in Assisted Reproduction. (PDF, 8 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994.

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Your doctor will determine if you are at risk of having endometriosis based on a careful history, physical exam, and ultrasound. Testis Biopsy and the Infertile Male. (PDF, 20 MB) Chapter 15 from textbook Office Andrology, 2005. Health problems such as mumps or hormone problems.

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Infertility in Men Below you will find a list of some of the most common causes of infertility in men. Also, parotitis o mumps associated with male infertility when it happens during adolescence. Epididymal Extravasation Following Vasectomy as a Cause for Failure of Vasectomy Reversal. (PDF, 22 MB)Fertility and Sterility, 1979. FSH and LH are released into the systemic circulation and exert their effect by binding to plasma membrane receptors of the target cells. Diet: A lack of folic acid, iron, zinc, and vitamin B-12 can affect fertility.

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Eating disorders such as anorexia nervosa are also associated with extremely low BMI. The man is advised not to ejaculate for 2 to 3 days before giving the semen sample for evaluation. These pyramids are filled with the seminiferous tubules. Intracytoplasmic Sperm Injection and Infertility. (PDF, 53 KB) Nature Genetics, 2001. A prolactin level of more than 150 mcg/L suggests a pituitary adenoma, while levels greater than 300 mcg/L are nearly diagnostic. Laparoscopy for Cryptorchidism. (PDF, 1 MB) The Journal of Urology, 1980. An ultrasonography unit and an endocrine laboratory capable of performing daily determinations of E2, FSH, and LH are necessary. [186, 187, 188, 189] Multiple adverse effects and complications may occur during the use of the gonadotropins, including (1) multiple pregnancy (24-33%), (2) ectopic pregnancy (5-8%), (3) miscarriages (15-21%), (4) ovarian torsion and rupture, and (5) ovarian hyperstimulation syndrome, which is the most severe. [190, 191] Whittemore et al, using a large combined data set derived from case-controlled studies in the United States, showed that the increase of ovarian cancer associated with infertility might be due to the use of fertility drugs. [192] Ovarian hyperstimulation syndrome is an iatrogenic condition that occurs in patients undergoing ovulation induction with hMG or controlled ovarian hyperstimulation (COH) for assisted reproductive technologies. After a woman ovulates, her body temperature rises by as much as 0. Abnormal semen may not be able to carry the sperm effectively. Sperm Granuloma and Reversibility of Vasectomy. (PDF, 11 MB) Lancet, 1977.