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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. Records of one of the primary fertility awareness signs—basal body temperature—can detect ovulation by identifying the shift in temperature which takes place after ovulation. Women in group II include those with polycystic ovary syndrome and hyperprolactinemia.

In other cases, the cause is suspected to be immunological or genetic; it may be that each partner is independently fertile but the couple cannot conceive together without assistance. Patients with azoospermia or severe oligospermia seeking assisted reproductive techniques should be screened. Quantitative Analysis of Testicle Biopsy: Determination of Partial Obstruction and Prediction of Sperm Count after Surgery for Obstruction. (PDF, 4 MB) Fertility and Sterility, 1981.

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The most common of these tests include measurements of blood levels of certain hormones such as estradiol and FSH, which are related to ovarian function and overall egg numbers; TSH, which assesses thyroid function; and prolactin, a hormone that can affect menstrual function if elevated. Surgical procedure to conserve the uterus for future pregnancy in patients suffering from massive adenomyosis.(PDF, 958 KB) Reproductive BioMedicine Online, 2010. They can interfere with implantation or block the fallopian tube, preventing sperm from fertilizing the egg. Bensdorp AJ, Cohlen BJ, Heineman MJ, Vandekerckhove P. This may be used if IVF has not been effective, if there has been poor embryo growth rate, and if the woman is older.

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ED may be the consequence of the conversion of androgens to estradiol. Corticosteroids are usually used to reduce the production of testosterone. Illegal drugs: Consumption of marijuana and cocaine can lower the sperm count. Outcome of Intracytoplasmic Sperm Injection with Testicular Spermatozoa in Obstructive and Non-obstructive Azoospermia. (PDF, 426 KB) Human Reproduction, 1996. Egg donation. This can help you if you have ovaries that don't work right but you have a normal uterus.

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Chronic conditions: These include AIDS or cancer. Women with regular menstrual cycles are likely to be ovulating and should be offered serum progesterone testing at day 21 to confirm ovulation. However, if the E2 level is greater than 100 pc/mL and the follicles are 10 mm in diameter, hMG should be continued at the same dose. Embryos transfer is performed in the office under abdominal ultrasound guidance using a small, soft, sterile and flexible catheter. Evaluation of the Female Partner: Evidence of Ovulation (Continued) Progesterone test. A vasectomy can be reversed, but reversals aren't usually successful.