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Varicocele and male factor infertility treatment: a new meta-analysis and review of the role of varicocele repair. Factors Affecting Fertility: Frequency of Intercourse Various factors may adversely affect fertility. Transplantation of Rat Kidneys with Acute Tubular Necrosis into Salt-loaded and Normal Recipients. (PDF, 2 MB)Surgery, 1975.

An extensive work-up showed Steve was born without the vas deferens, the main sperm pipelines from the testicles. Heavy, long, or painful periods Heavy periods may indicate an underlying condition affecting fertility.

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World Health Organization reference values for human semen characteristics. Semen analysis: A sample may be taken to test for sperm concentration, motility, color, quality, any infections, and whether any blood is present. Amenorrhea (absence of menstruation) occurs in about 20% of women with ovulatory dysfunction. Vasectomy and its Microsurgical Reversal. (PDF, 17 MB) Urologic Clinics of North America, 1978.

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Because 85% of couples conceive spontaneously within 12 months if having intercourse regularly,5 it is important to identify those who will benefit from infertility evaluation. Sterility is classified into two groups, primary and secondary.

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Patients who do not ovulate because of a fault in the pituitary gland may receive this drug as an injection. 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. 17 Evaluation of male infertility starts with a history and physical examination focusing on previous fertility, pelvic or inguinal surgeries, systemic diseases, and exposures. Many men with low sperm counts or abnormal semen are still fertile. However, until approximately age 64, a man’s age does not affect sperm or the ability to fertilize eggs. For example; a woman who has no history suggestive of previous pelvic inflammatory disease or endometriosis, there is no justification to request a laparoscopy especially after normal hysterosalpingography study [33]. Semm published over 1000 papers in various journals.[4] He also produced over 30 endoscopic films and more than 20,000 colored slides to teach and inform interested colleagues about his technique. Clinical diagnostic testing for the cytogenetic and molecular causes of male infertility: the Mayo Clinic experience. Pelvic ultrasonography can be used once a week until the dominant follicle is detected; once this occurs, ultrasonography can be used more frequently until ovulation occurs. Evaluation of cervical mucus is unreliable; therefore, investigation is not helpful with the management of infertility. Adequate nutritional and health status to maintain nutrition and oxygenation of placenta and fetus.