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8,46 Obesity impairs fertility and the response to fertility treatments, including in vitro fertilization; therefore, it is advisable to counsel patients who are obese to lose weight before conception or infertility treatments. In many cases, there are tests that can help find the cause(s) of male infertility.

Transmission of Male Infertility to Future Generations: Lessons from the Y Chromosome. (PDF, 303 KB) Human Reproduction Update, 2002. Blocked ovaries can start functioning again without a clear medical explanation.

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Prevalence of Premature Ovarian Failure in Monozygotic and Dizygotic Twins. (PDF, 90 KB) Human Reproduction, 2007. Causes of Infertility Affecting Both Partners Some causes of infertility, such as psychological causes, may be relevant to both partners. Tests such as semen analysis, hormone testing, transrectal and scrotal ultrasound may also be performed. Gynecological history, including operations and medical treatment. The most commonly prescribed pill to stimulate ovulation (generally of one mature egg) is clomiphene citrate. The use of aromatase inhibitors for ovulation induction in premenopausal women is controversial due to the possibility of fetal toxicity and fetal malformations raised by one abstract. [172] However, 2 subsequent publications have shown no evidence of fetal malformations with the letrozole and no difference in birthweight compared with spontaneous conceptions. [173, 174] Furthermore, based on the half-life of each drug, administration in the early follicular phase should result in clearance of the aromatase inhibitors before implantation takes place.

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Central Ave Suite 2C Chicago, IL 60630 Phone: (773) 794-1818 Fax: (773) 794-1819 GURNEE 30 Tower Court Suite F Gurnee, IL 60031 Phone: (847) 662-1818 Fax: (847) 662-3001 CRYSTAL LAKE 820 E. Growth of Baby Kidneys Transplanted into Adults. (PDF, 1 MB) Archives of Surgery, 1976.

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Intracytoplasmatic Sperm Injection (ICSI) An intracytoplasmatic sperm injection is also a form of artificial insemination. The surgeon can remove implants and scar tissue, and this may reduce pain and aid fertility. In-vitro fertilization and donor insemination are major procedures involved. Three regions have been described, called azoospermic factors a, b, and c (AZFa, AZFb, AZFc).[24] These deletions are observed in 3-19% of patients with idiopathic infertility and 6-14% of patients with oligospermia, although up to 7% of patients with other known causes of infertility may also be found to have a deletion. Hofherr SE, Wiktor AE, Kipp BR, Dawson DB, Van Dyke DL. Premature Ejaculation: Is defined as an inability to control the ejaculatory response for at least thirty seconds following penetration.  Premature ejaculation becomes a fertility problem when ejaculation occurs before a man is able to fully insert his penis into his partner�s vagina.  Premature ejaculation can be overcome by artificial insemination or by using a behavioral modification technique called the �squeeze technique� which desensitizes the penis. Ovarian hyperstimulation syndrome The ovaries can swell, leak excess fluid into the body, and produce too many follicles, the small fluid sacs in which an egg develops. Surgical sperm aspiration: The sperm is removed from part of the male reproductive tract, such as the vas deferens, testicle, or epididymis. This improves the chances that the embryo will implant at, or attach to, the wall of the uterus. 42 Urinary luteinizing hormone kits indicate the midcycle luteinizing hormone surge that precedes ovulation by one to two days. Sertoli Cell only Revisited. (PDF, 1 MB) Human Reproduction, 1995.