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Immediate surgery is needed and, sadly, the tube on that side will be lost. Perfect Anatomical Reconstruction of Vas Deferens with a new Microscopic Surgical Technique. (PDF, 19 MB)Fertility and Sterility, 1977. Cervical mucus problems impairing conception may be treated with intrauterine insemination (IUI) or uterine instillation of specially prepared sperm. In another 30% of all cases, the cause is in the male partner. 4 IU per L]) can help differentiate between primary and secondary disorders.

Excess alcohol consumption: This may lower male fertility. Ultrastructure of Human Sperm in Men with Congenital Absence of the Vas Deferens: Clinical Implications. (PDF, 2 MB) Fertility and Sterility, 1992. The recourse for these specimens is to remove the seminal fluid by successive media washes.

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Furthermore, if there is a background of gynaecological or andrological issues in the couple, a study should be carried out as soon as possible. Factors Affecting Fertility: STIs and Other Infections Gonorrhea and chlamidia in women can cause cervicitis and pelvic inflammatory disease (PID); and in men, urethritis, epididymitis, and, possibly, accessory gland infection.

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29 When the semen analysis is abnormal, referral to a male fertility specialist or reproductive endocrinologist is warranted. The first phase develops between the second and seventh day after ovulation, and the second phase only occurs if the patient becomes pregnant. At least one open tube is required for IUI, and the sperm abnormality cannot be severe otherwise the sperm will not be able to swim to and fertilize the egg.

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Hypogonadotropic Hypopituitarism: Low pituitary gland output of LH and FSH.  This condition arrests sperm development and causes the progressive loss of germ cells from the testes and causes the seminiferous tubules and Leydig (testosterone producing) cells to deteriorate.  May be treated with the drug Serophene.  However, if all germ cells are destroyed before treatment commences, the male may be permanently infertile. Clinical examination Full clinical examination of both partners usually stands for the underlying physical problem [17-22,24-26], (Appendix 2). Egg donation. This can help you if you have ovaries that don't work right but you have a normal uterus. Malformation of the eggs themselves may complicate conception. Some causes, such as hyperprolactinemia, are reversible with proper treatment. It was broken down into male and female categories. This is called the fulcrum effect.[22] Some surgeries (carpal tunnel for instance) generally turn out better for the patient when the area can be opened up, allowing the surgeon to see "the whole picture" surrounding physiology, to better address the issue at hand. Before treating cornual obstruction, the diagnosis should be confirmed. But painful periods that interfere with your daily life may be a symptom of endometriosis. Many uterine and tubal abnormalities detected by the HSG can be surgically corrected.