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2 This encompasses couples with infertility and impaired ability to get pregnant, but it does not capture those who are not married, so actual numbers may be underestimated. Suspect antisperm antibodies when semen analysis reveals abnormal clumping, agglutination, unexplained decreased motility, or an abnormal postcoital test result. The enzyme aromatase is responsible for this conversion, and is found primarily in adipose tissue.

Radiation treatment and/or chemotherapy for cancer. While these injuries are rare, significant complications can occur, and they are primarily related to the umbilical insertion site.

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In most cases, surgery can be performed to either reverse these blockage or to retrieve sperm directly from the epididymis and testicles. Diverse Spermatogenic Defects in Humans Caused by Y Chromosome Deletions Encompassing a Novel RNA-binding Protein Gene. (PDF, 7 MB) Nature Genetics, 1995.

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It stimulates the ovaries to mature egg follicles. Mutations in the Cystic Fibrosis Gene in Patients with Congenital Absence of the Vas Deferens. (PDF, 5 MB) New England Journal of Medicine, 1995.

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Tubal occlusion is a cause of infertility because an ovulated egg is unable to be fertilized by sperm or to reach the endometrial cavity. Fertility Evaluation Procedure Before the medical data are collected, the couple should be informed about the different causes of infertility, the tests and procedures required to make a diagnosis and the various therapeutic possibilities. Both infertility and subfertility are defined as the inability to conceive after a certain period of time (the length of which vary), so often the two terms overlap. Your doctor may suggest that you take gonadotropin if you have unexplained infertility or when other kinds of treatment haven't helped you get pregnant. A complete pelvic exam should reveal any uterine hypoplasia, fibroids, adnexal tumors or cervical lesions and should indicate whether dyspareunia may be a problem. The chance of a multiple birth is lower with an oral fertility drug. Kidney Transplantation in Inbred Rats. (PDF, 6 MB) The American Journal of Surgery, 1973. Idiopathic Hypercalciuria. (PDF, 1 MB) New England Journal of Medicine, 1971. Bromocriptine is used in cases when anovulation is caused by an elevated level of the hormone prolactin.