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Testicular neoplasia, commonly producing estrogen, usually causes infertility. Microscopic Vasoepididymostomy: Specific Microanastomosis to the Epididymal Tubule. (PDF, 15 MB) Fertility and Sterility, 1978. M. genitalium infection is associated with increased risk of infertility.[25][26] Genetic[edit] A Robertsonian translocation in either partner may cause recurrent spontaneous abortions or complete infertility.[citation needed] Mutations to NR5A1 gene encoding Steroidogenic Factor-1 (SF-1) have been found in a small subset of men with non-obstructive male factor infertility where the cause is unknown. Vasectomy and Vasectomy Reversal. (PDF, 7 MB) Fertility and Sterility, 1978. Mannitol Induced Central Nervous System Toxicity in Renal Failure. (PDF, 4 MB) Investigative Urology, 1972.

Laparoscopy: A thin, flexible tube with a camera at the end is inserted into the abdomen and pelvis, allowing a doctor to look at the fallopian tubes, uterus, and ovaries. Damaged tubes may interfere with fertilization of the egg and its transport into the uterine cavity. The predictable pregnancy rate for this group is about 5% after timed intercourse, 10% after superovulation with intrauterine insemination (IUI), and 15% to 25% after assisted reproduction techniques (ART) [41].

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Epididymal Surgery. (PDF, 8 MB) Chapter 8 from textbook, Infertility, 1992. Ultrastructure of Human Sperm in Men with Congenital Absence of the Vas Deferens: Clinical Implications. (PDF, 2 MB) Fertility and Sterility, 1992. In order to accomplish this, the semen is washed with a solution safe to sperm and eggs, and then centrifuged to separate motile sperm from immotile sperm and other cells.

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Microsurgery in Clinical Urology. (PDF, 5 MB) Urology, 1975. The fertilized egg attaches itself to the uterus (implantation) and begins to grow.  Predict your cycle with Flo!

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Diet: A lack of folic acid, iron, zinc, and vitamin B-12 can affect fertility. 8 If a woman has irregular cycles, the testing should be conducted later in the cycle, starting seven days before presumed onset of menses, and repeated weekly until menses. When clomiphene binds to estrogen receptors in the hypothalamus, it leads to an increase release of an important signaling hormone called GnRH (gonadotropin releasing hormone). In this case, symptoms can also include: Skin changes, including more acne Changes in sex drive and desire Dark hair growth on the lips, chest, and chin Loss of hair or thinning hair Weight gain Other symptoms of disorders that may lead to infertility include: Milky white discharge from nipples unrelated to breastfeeding Pain during sex Many other things can be related to infertility in women, and their symptoms vary. According to the literature survey, the most common causes of infertility are: male factor [5,7-9,13-15] such as sperm abnormalities [9,13,15], female factor [7-9,14-16] such as ovulation dysfunction [7,8] and tubal pathology [7-9], combined male and female factors [7,9,14,15] and unexplained infertility; where no obvious cause could be detected [7-9]. 549 KB Effect of Age on Male Fertility. (PDF, 5 MB) Chapter from textbook, Seminars in Reproductive Endocrinology, 1991. In humans, infertility is the inability to become pregnant after one year of intercourse without contraception involving a male and female partner.[2] There are many causes of infertility, including some that medical intervention can treat.[3] Estimates from 1997 suggest that worldwide about five percent of all heterosexual couples have an unresolved problem with infertility. A history and physical examination can help direct the evaluation.