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Ovarian Transplantation in a Series of Monozygotic Twins Discordant for Ovarian Failure. (PDF, 188 KB) The New England Journal of Medicine, 2007. These numbers are comparable to those of other industrialized nations. 30–32 Other treatment options include antiestrogens and gonadotropin therapy, which showed a trend toward increased live birth rates in a Cochrane review. Controversies in OB/GYN: Is Varicocelectomy Useful for Treatment of Male-factor Infertility? (PDF, 4 MB)Contemporary OB/GYN, 2001.

Thus women whose pregnancy spontaneously miscarries, or whose pregnancy results in a still born child, without ever having had a live birth would present with primarily infertility. (Trends in prevalence4). Successful Vitrification of Bovine and Human Ovarian Tissue. (PDF, 3 MB) Reproductive BioMedicine Online, 2009. 4 IU per L]) can help differentiate between primary and secondary disorders.

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Sperm Retrieval for Azoospermia and Intracytoplasmic Sperm Injection Success Rates – A Personal Overview.(PDF, 1 MB) Human Fertility, 2010. As there is surplus medical information everyday that can not be cached by healthcare providers, clinical guidelines created to endorse up-to-date evidence-based practice to improve patients' outcome [6].

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In men, exposure to lead can reduce both sex drive and sperm count. Government, the Department of Defense, or the Department of the Air Force. A bicornuate uterus is characterized by the presence of an indentation at the fundus. Medical conditions Some medical conditions can affect fertility. Microsurgery and Andrology. (PDF, 5 MB) Chapter from textbook, 1991.

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In patients with varicocele, there is insufficient evidence to suggest corrective surgery will increase live birth rates, despite improvement in semen analysis results. These endometrial cells can extend as far as the outside of the fallopian tubes, the ovaries and the bladder. Ross says it might suggest a blockage in the “plumbing” that can be corrected with surgery. Microsurgery for the Undescended Testicle. (PDF, 5 MB) Urologic Clinics of North America, 1982. It is important to undergo a thorough fertility evaluation to determine the problem. Diagnosis and Management of Hypogonadism, Infertility, and Impotence. (PDF, 13 MB) Chapter 22 of textbook,Male Reproductive Dysfunction, 1986. Having sex near the time of ovulation is the best way to increase the chance of becoming pregnant. Ovulation induction agents increase the risk of multiple pregnancy, ovarian hyperstimulation syndrome, and thrombosis, and they may increase the risk of ovarian cancer in women who remain nulliparous. Microsurgery in Pediatric Urology. (PDF, 13 MB) The National Foundation, 1977.