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Laparoscopy for Cryptorchidism. (PDF, 1 MB) The Journal of Urology, 1980. Previous sterilization treatment: In women who have chosen to have their fallopian tubes blocked, the process can be reversed, but the chances of becoming fertile again are not high.

Intracytoplasmic Sperm Injection. (PDF, 4 MB) Chapter 47 from textbook Current Therapy in Equine Reproduction, 2006. Associated conditions[edit] For most women, alteration of menstrual periods is the principal indication of chronic anovulation.

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If the epididymis is blocked, sperm may not be ejaculated properly. Judaism and Reproductive Technology. (PDF, 2 MB) 2010. Vasectomy. (PDF, 5 MB) From the Encyclopedia of Reproduction, 1999. They can also carry out some basic tests on both partners to see if there is an identifiable reason for not having achieved a pregnancy. Overheated testicles: Causes include an undescended testicle, a varicocele, or varicose vein in the scrotum, the use of saunas or hot tubs, wearing tight clothes, and working in hot environments.

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Endometriosis is usually more common in women in their mid-twenties and older, especially when postponed childbirth has taken place.[55] Another major cause of infertility in women may be the inability to ovulate. With the fast progression in reproductive medicine and the experiences gained through infertility management, a wider range of treatment options have become available to infertile couples [17-19,21-26,31,36], (Appendix 4). Some problems stop an egg being released at all, while others prevent an egg being released during some cycles but not others. Assisted conception The following methods are currently available for assisted conception. Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989.

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The doctor or WHNP may also be able to suggest lifestyle changes to increase the chances of conceiving.[65] Women over the age of 35 should see their physician or WHNP after six months as fertility tests can take some time to complete, and age may affect the treatment options that are open in that case. Abnormal sperm: The sperm may have an unusual shape, making it harder to move and fertilize an egg. A systematic review of tests predicting ovarian reserve and IVF outcome. The epididymis is a coil-like structure in the testicles which helps store and transport sperm. ART: Intracytoplasmic Sperm Injection (ICSI) Another ART procedure  Intracytoplasmic Sperm Injection (ICSI)  involves the injection of a single sperm into the egg. 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. Bromocriptine (Parlodel): This drug inhibits prolactin production. Other infectious diseases that may affect fertility include tuberculosis, toxoplasmosis, malaria, schistosomiasis and leprosy. Known male factor semen abnormalities: If a male partner has a history of infertility with a prior partner, or if there are abnormalities on his semen analysis, then we advise earlier fertility evaluation, ideally within 6 months of attempting pregnancy. Chemotherapy: Some chemotherapy drugs can result in ovarian failure. Fertility treatment with donor eggs is usually done using IVF. Varicocele: Surgically removing a varicose vein in the scrotum may help. 6-Mb Deletion of the Human Y Chromosome Persists Through Balance Between Recurrent Mutation and Haploid Selection. (PDF, 295 KB) Nature Genetics, 2003. A lower concentration may lead to a lower chance for conception without treatment; 3) sperm motility or movement – a normal motility should be at least 50%.