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The epididymis is a coil-like structure in the testicles which helps store and transport sperm. 2) Ovulation disorders: Normal and regular ovulation, or release of a mature egg, is essential for women to conceive naturally. Microsurgery Successful in Vasectomy Reversals. (PDF, 156 KB) The New York Times, 1975. Management of the infertile couple: an evidence-based protocol. Post-ejaculatory urinalysis (urine testing), to check for retrograde ejaculation. Other hormones including inhibin B and leptin, may also be affected by obesity.

The patient should be prescribed high-dose estradiol (5 mg qd for 21 d) followed by medroxyprogesterone (10 mg for 10 d). Causes of Male Infertility Male infertility may be a result of some conditions that affect the quality of sperm, lead to low sperm production (oligospermia), or lead to the absence of sperm production (azoospermia). Partners may become more anxious to conceive, increasing sexual dysfunction.[17] Marital discord often develops, especially when they are under pressure to make medical decisions. The quality of the cervical mucus can be improved with the administration of a small dose of estrogens, or the problem can be bypassed by intrauterine insemination. [163, 209] If the follicle is smaller than 23-24 mm at the time of ovulation, a better size can be obtained by starting the CC therapy on the menstrual cycle day 2. Pregnancies after Testicular Sperm Extraction and Intracytoplasmic Sperm Injection in Non-obstructive Azoospermia. (PDF, 3 MB) Human Reproduction, 1995. Microsurgical Epididymal Sperm Aspiration and Assisted Reproductive Techniques. (PDF, 4 MB) Frontiers in Human Reproduction, 1991.

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Afterward, the embryos are incubated again and then transferred to the cavum uteri of the woman. However, nowadays, spermatozoa can be extracted by means of a testicular puncture. 8 Couples with unexplained infertility may want to consider another year of intercourse before moving to more costly and invasive therapies, such as assisted reproductive technology. Small, firm testicles The testes house a man’s sperm, so testicle health is paramount to male fertility.

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Treatment of Renal Trauma by Angiographic Injection of Autologous Clot. (PDF, 422 KB) British Journal of Urology, 1974. Malformation of the eggs themselves may complicate conception. Causes in women Infertility in women can also have a range of causes. If the woman is age 35 years or older, she should see a healthcare provider after six months of trying to get pregnant. Once the follicular diameter reaches 18 mm and the E2 level is below 2000 pc/mL, ovulation is triggered by the administration of hCG (10,000 IU IM).

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GIFT (gamete intrafallopian tube transfer) and ZIFT (zygote intrafallopian transfer).  Like IVF, these procedures involve retrieving an egg, combining it with sperm in a lab, and then transferring it back to your body. MESA or TESA? (PDF, 115 KB) Human Reproduction, 1996. ARTs have made conception possible even for men with very low or abnormal sperm. In order to perform ICSI, an egg is held via a small suction pipette, while one sperm is injected into that egg using a very fine glass needle. If GnRH is not secreted, the pituitary does not release LH and FSH. Exogenous testosterone should never be administered in an attempt to boost sperm production because it actually decreases intratesticular testosterone levels owing to feedback inhibition of GnRH release.