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One of the best known is the HFEA – The UK's regulator for fertility treatment and embryo research. Reversal of Vasectomy and the Treatment of Male Infertility. (PDF, 4 MB) Journal of Andrology, 1980.

Evaluation of the uterus and fallopian tubes can be performed by hysterosalpingography in women with no risk of obstruction. However, nowadays, spermatozoa can be extracted by means of a testicular puncture. Many countries have special frameworks for dealing with the ethical and social issues around fertility treatment. These include: non-steroidal anti-inflammatory drugs (NSAIDs) – long-term use or a high dosage of NSAIDs, such as ibuprofen or aspirin, can make it more difficult to conceive chemotherapy – medicines used for chemotherapy can sometimes cause ovarian failure, which means your ovaries will no longer be able to function properly neuroleptic medicines – antipsychotic medicines often used to treat psychosis; they can sometimes cause missed periods or infertility spironolactone – a type of medicine used to treat fluid retention (oedema); fertility should recover around 2 months after you stop taking spironolactone Illegal drugs, such as marijuana and cocaine, can seriously affect fertility and make ovulation more difficult. There may be testicular malformations, hormone imbalance, or blockage of the man's duct system. This pill generally is taken from menstrual cycle days 3 – 7.

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Microsurgical Epididymal Sperm Aspiration and Assisted Reproductive Techniques. (PDF, 4 MB) Frontiers in Human Reproduction, 1991. However, in our modern era, women are delaying child birth until their thirties and forties, which has lead to the discovery of the adverse effect of advanced maternal age on egg function.

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Broekmans FJ, Kwee J, Hendriks DJ, Mol BW, Lambalk CB. A review of systems and physical examination of the endocrine and gynecologic systems should be performed. Semen analysis: A sample may be taken to test for sperm concentration, motility, color, quality, any infections, and whether any blood is present. Assisted conception The following methods are currently available for assisted conception. Benign prostatic hyperplasia does not affect fertility.

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Ovulation test kits or monitors are available at pharmacies and can help a woman determine her fertile time.   SOURCES How common is male infertility, and what are its causes? Results of one study investigating a cohort of 315 men revealed changes within the hinge region of SF-1 and no rare allelic variants in fertile control men. This process bypasses the normal fertilization process, which may be compromised due to poor sperm function. Cystic Fibrosis and Infertility Caused by Congenital Bilateral Absence of the Vas Deferens and Related Clinical Entities. (PDF, 2 MB) Human Reproduction, 1996. Transmission of Male Infertility to Future Generations: Lessons from the Y Chromosome. (PDF, 303 KB) Human Reproduction Update, 2002. Do you have a family history of medical problems? Where Dreams are Born. (PDF, 2 MB) Jewish Light, 2010.