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Many of these treatment options may have harmful or unpleasant side effects such as nausea, headaches and weight gain. Understanding what defines normal fertility is crucial to helping a person, or couple, know when it is time to seek help. 4) Uterine fibroids: Fibroids are very common (approximately 40% of women may have them) and the mere presence alone does not necessarily cause infertility. In patients with obstructive azoospermia and normal gonadotropin levels, sperm can be obtained through microsurgical epididymal sperm aspiration or testicular biopsy. [213] Fertilization of the oocytes is performed using IVF/intracytoplasmic sperm injection.

Some methods may be used in concert with other methods. Perfect Anatomical Reconstruction of Vas Deferens with a new Microscopic Surgical Technique. (PDF, 19 MB)Fertility and Sterility, 1977. Sperm can survive inside the female for up to 5 days, while an egg can be fertilized for up to 1 day after ovulation. Distribution of Spermatogenesis in the Testicles of Azoospermic Men: The Presence of Spermatids in the Testes of Men with Germinal Failure. (PDF, 295 KB) Human Reproduction, 1997. Testis Biopsy and the Infertile Male. (PDF, 20 MB) Chapter 15 from textbook Office Andrology, 2005.

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Excess alcohol consumption: This may lower male fertility. Ovarian dysfunction, when a woman’s ovaries are not producing eggs, or egg production has diminished due to hormonal imbalance, age or other factors. Microsurgical Aspects of Varicocele. (PDF, 9 MB) Fertility and Sterility, 1979. Get Permissions Email Alerts Don't miss a single issue.

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ART techniques generally start with stimulating the ovaries to increase egg production. For unknown reasons, as women age, egg numbers decrease at a rapid rate.

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Microscopic Vasovasostomy and Spermatogenesis. (PDF, 1 MB) The Journal of Urology, 1977. Prolactin stimulates milk production during breastfeeding. Ovarian hyperstimulation syndrome is self-limited, and the symptoms subside within 2-6 weeks. [198] Patients with mild and moderate ovarian hyperstimulation syndrome are treated at home with bedrest and strict control of fluid intake and output. A needle biopsy of the testicle can show whether a man is making healthy sperm. In addition to a careful history, a physical evaluation may also be performed. In this article, learn about signs of infertility in both men and women, as well as when to see a doctor. Your doctor will determine if you are at risk of having endometriosis based on a careful history, physical exam, and ultrasound.