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6 Women with risk factors for tubal obstruction, such as endometriosis, previous pelvic infections, or ectopic pregnancy, should instead be offered hysteroscopy or laparoscopy with dye to assess for other pelvic pathology. The new definitions drawn up by WHO’s international committee monitoring assisted reproductive technology will be sent to every health minister for consideration next year.Sterility, also referred to as infertility, is defined as an inability to conceive a child after trying to do so for at least one year.

Results of Microsurgical Vasoepididymostomy: Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Human Reproduction, 1989. Most typical are decreased libido, erectile dysfunction, orgasmic dysfunction, and ejaculatory dysfunction. However, nowadays, spermatozoa can be extracted by means of a testicular puncture.

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Eating disorders such as anorexia nervosa are also associated with extremely low BMI. European Association of Urology guidelines on male infertility: the 2012 update. If the sperm are of good quality and the mechanics of the woman's reproductive structures are good (patent fallopian tubes, no adhesions or scarring), a course of ovulation induction maybe used. Medication. If you have ovulation problems, you may be prescribed drugs such as clomiphene citrate (Clomid, Serophene), gonadotropins (such as Gonal-F, Follistim, Humegon and Pregnyl), or letrozole. Heavy, long, or painful periods Heavy periods may indicate an underlying condition affecting fertility.

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Normal Pregnancies Resulting from Testicular Sperm Extraction and Intracytoplasmic Sperm Injection for Azoospermia Due to Maturation Arrest. (PDF, 6 MB) Fertility and Sterility, 1996. Evaluation may be initiated sooner in patients who have risk factors for infertility or if the female partner is older than 35 years.

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Ultrasound: This may reveal issues such as ejaculatory duct obstruction or retrograde ejaculation. Age: Male fertility starts to fall after 40 years. Epididymal Extravasation Following Vasectomy as a Cause for Failure of Vasectomy Reversal. (PDF, 22 MB)Fertility and Sterility, 1979. Changes in virility, often governed by hormones, could indicate issues with fertility. Microsurgery in Pediatric Urology. (PDF, 13 MB) The National Foundation, 1977. High Fertilization and Pregnancy Rate after Intracytoplasmic Sperm Injection with Spermatozoa Obtained from Testicle Biopsy. (PDF, 3 MB) Human Reproduction, 1995.