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Microscopic Technique for Reversal of Vasectomy. (PDF, 3 MB) Surgery, gynecology & obstetrics, 1976. Laparoscopy for Cryptorchidism. (PDF, 1 MB) The Journal of Urology, 1980. Pregnancy After Testicular Transplant: Importance of Treating the Couple. (PDF, 5 MB) Fertility and Sterility, 1980. Testosterone is secreted in a diurnal pattern, peaking a few hours after the man awakens from sleep. Several studies have reported different causes of infertility [7-9]. Treatment of tubal obstruction generally requires referral for subspecialty care.

Controversies in OB/GYN: Is Varicocelectomy Useful for Treatment of Male-factor Infertility? (PDF, 4 MB)Contemporary OB/GYN, 2001. If endometriosis is found, it can be surgically removed by various methods, and its removal may lead to a decrease in pain as well as improvement in the ability to conceive naturally. Semen analysis The semen analysis is a very important test and should be done early in the evaluation process. ART: Gamete Intrafallopian Transfer (GIFT) GIFT is a procedure that involves ovarian stimulation, egg retrieval, and placing a mixture of sperm and eggs directly into the woman’s fallopian tube to foster fertilization inside the female body. Erectile dysfunction or premature ejaculation: Medication, behavioral approaches, or both may help improve fertility. When a man ejaculates and releases semen through the penis, the seminal fluid, or semen, helps transport the sperm toward the egg.

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Causes of Infertility Affecting Both Partners Some causes of infertility, such as psychological causes, may be relevant to both partners. Make an appointment with your doctor and go over your concerns. Treatment of Hemorrhage from Renal Trauma by Angiographic Injection of Clot. (PDF, 1 MB) The Journal of Urology, 1978.

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Ejaculation disorders: If the ejaculatory ducts are blocked, semen may be ejaculated into the bladder Hormonal imbalance: Hypogonadism, for example, can lead to a testosterone deficiency. Vitrification of oocytes from endangered Mexican gray wolves (Canis lupus baileyi). (PDF, 319 KB) Theriogenology, 2010. In addition to stimulation by FSH, Sertoli cell function is modulated by intratesticular testosterone and signals from peritubular myoid cells. The pulsatile nature of GnRH is essential to normal gonadotropin release; a continuous stimulation inhibits their secretion. Unfortunately, some men have to cope with the reality that nothing can be done about their infertility. Results of Microsurgical Vasoepididymostomy: Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Human Reproduction, 1989.

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Image: “Bilateral multilocular cystic masses in a patient with ovarian hyperstimulation syndrome in a spontaneous pregnancy with invasive mole” by openi. Male infertility refers to a male’s inability to cause a pregnancy in a fertile female.   Causes vary.   Testing is available.   Medication or surgery. The potentials of these systems enhance the possibilities of the mobile medical care with those lightweight assistance systems. Cervical surgery can sometimes cause scarring or shortening of the cervix. Erectile Disfunction (ED): Also known as impotence, this condition is common and affects 20 million American men.  ED is the result of a single, or more commonly a combination of multiple factors.  In the past, ED was thought to be the result of psychological problems, but new research indicates that 90 percent of cases are organic in nature.  However, most men who suffer from ED have a secondary psychological problem that can worsen the situation like performance anxiety, guilt, and low self-esteem.  Many of the common causes of impotence include:  diabetes, high blood pressure, heart and vascular disease, stress, hormone problems, pelvic surgery, trauma, venous leak, and the side effects of frequently prescribed medications (i.e. 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. It also tests for a luteal phase defect (inadequate level of progesterone). Oei SG, Helmerhorst FM, Bloemenkamp KW, Hollants FA, Meerpoel DE, Keirse MJ. Group I: hypothalamic pituitary failure (hypothalamic amenorrhoea or hypogonadotrophic hypogonadism).