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Hypogonadotropic Hypopituitarism: Low pituitary gland output of LH and FSH.  This condition arrests sperm development and causes the progressive loss of germ cells from the testes and causes the seminiferous tubules and Leydig (testosterone producing) cells to deteriorate.  May be treated with the drug Serophene.  However, if all germ cells are destroyed before treatment commences, the male may be permanently infertile. For unknown reasons, as women age, egg numbers decrease at a rapid rate.

Conventional IVF vs ICSI (Intra Cytoplasmic Sperm Injection) for Patients Requiring Microsurgical Epididymal Sperm Aspiration (MESA). (PDF, 4 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. Hyperandrogenemic ovarian insufficiency is characterized by an immoderate production of androgen. Advantages[edit] There are a number of advantages to the patient with laparoscopic surgery versus an open procedure. There are three main types of fertility treatment: medical treatment (such as ovulation induction therapy); surgical treatment (such as laparoscopy and hysteroscopy); and the different assisted reproduction techniques [37]. Conventional In-vitro Fertilization vs Intracytoplasmic Sperm Injection for Patients Requiring Microsurgical Sperm Aspiration. (PDF, 3 MB) Human Reproduction, 1994.

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Patients have eunuchoidal body habitus, large testis, and a low ejaculatory volume. Chronic conditions: These include AIDS or cancer. Worldwide, 8 to 12 percent of couples experience fertility problems.

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Some respond by actively avoiding the issue altogether; middle-class men are the most likely to respond in this way.[21] In the United States some treatments for infertility, including diagnostic tests, surgery and therapy for depression, can qualify one for Family and Medical Leave Act leave. Assisted Reproductive Technology: Using Ejaculated, Fresh, and Frozen-thawed Epididymal and Testicular Spermatozoa Gives Rise to Comparable Results after Intracytoplasmic Sperm Injection. (PDF, 5 MB) Fertility and Sterility, 1995. Germ cells and white blood cells both appear as round cells on microscopic examination, so immunohistochemical stains are used to differentiate the 2 cell types. If pregnancy has not been established within a reasonable time, further evaluation and/or an alternative treatment plan should be considered.

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Epididymal and Testicular Spermatozoa and Intracytoplasmic Sperm Injection. (PDF, 7 MB) Assisted Reproduction Reviews, 1996. Although CASA produces good qualitative data, it is a labor-intensive procedure with a high initial cost and is plagued with inaccuracies when sperm concentrations are very high or very low. He also developed a medical instrument company Wisap in Munich, Germany, which still produces various endoscopic instruments of high quality. Non-steroidal anti-inflammatory drugs (NSAIDs): Long-term use of aspirin or ibuprofen may make it harder to conceive. Is Congenital Bilateral Absence of Vas Deferens a Primary Form of Cystic Fibrosis? Illegal drugs: Consumption of marijuana and cocaine can lower the sperm count. Arcuate uterus In general, an arcuate uterus does not cause infertility. Cholesterol One study has found that high cholesterol levels may have an impact on fertility in women.