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Vasoepididymostomy to the Head of the Epididymis: Recovery of Normal Spermatozoal Motility. (PDF, 3 MB)Fertility and Sterility, 1980. Fertilization takes place outside the body, and the fertilized egg is reinserted into the woman's reproductive tract, in a procedure called embryo transfer.

Ovulation induction in polycystic ovary syndrome [published corrections appear in J Obstet Gynaecol Can. First Fallopian Tube-Ovary Transplant Carried Out. (PDF, 2 MB) Welcome Trends in Ob/Gyn, 1985. Varicocele and male factor infertility treatment: a new meta-analysis and review of the role of varicocele repair.

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The sperm can either be mixed with the eggs to allow normal fertilization (conventional insemination) or by injecting one sperm into each mature egg (ICSI). Combined infertility[edit] In some cases, both the man and woman may be infertile or sub-fertile, and the couple's infertility arises from the combination of these conditions.

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Ideally, the cause of the infertility is reversible and then conception can result from natural sex. Gonadotrophins for idiopathic male factor subfertility. Records of one of the primary fertility awareness signs—basal body temperature—can detect ovulation by identifying the shift in temperature which takes place after ovulation. There may be testicular malformations, hormone imbalance, or blockage of the man's duct system. 25 Women with no clear risk of tubal obstruction should be offered hysterosalpingography to screen for tubal occlusion and structural uterine abnormalities.

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Hypothyroidism: Low thyroid hormone levels--can cause poor semen quality, poor testicular function and may disturb libido.  May be caused by a diet high in iodine.  Reducing iodine intake or beginning thyroid hormone replacement therapy can elevate sperm count.  This condition is found in only 1 percent of infertile men. Infertility service use in the United States: data from the National Survey of Family Growth, 1982–2010. Some medications increase the risk of fertility problems in men. Gonadotropins are available in the form of human menopausal gonadotropin (HMG) derived from the urine of postmenopausal women. Anatomic causes of infertility include acquired and congenital problems. If the woman is over the age of 35 years old, she may be infertile if she has not become pregnant after 6 months of trying. Therefore, any pituitary malfunctioning affects other glands under its influence, including the ovaries. Other tests include: ovarian reserve testing, to find out how effective the eggs are after ovulation genetic testing, to see if a genetic abnormality is interfering with fertility pelvic ultrasound, to produce an image of the uterus, fallopian tubes, and ovaries Chlamydia test, which may indicate the need for antibiotic treatment thyroid function test, as this may affect the hormonal balance Complications Some complications can result from infertility and its treatment.