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Surgical Management of Male Infertility. (PDF, 2 MB) Chapter 12 from textbook, Male Infertility, 1992. If pregnancy has not been established within a reasonable time, further evaluation and/or an alternative treatment plan should be considered. Females[edit] The following causes of infertility may only be found in females. This may be used if IVF has not been effective, if there has been poor embryo growth rate, and if the woman is older. This means it’s more difficult to become pregnant and the chance of miscarriage is higher.  Unexplained infertility  Sometimes, doctors are unable to find the reason for infertility, despite running the required fertility tests.

Transplantation of Rat Kidneys with Acute Tubular Necrosis into Salt-loaded and Normal Recipients. (PDF, 2 MB)Surgery, 1975. The patient's electrolyte levels must be checked to consider the need for diuretics. The AZFc Region of the Y Chromosome Features Massive Palindromes and Uniform Recurrent Deletions in Infertile Men. (PDF, 5 MB) Nature Genetics, 2001.

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The farther from the scrotum, and the longer duration that the testicle resides outside the scrotum, the greater the likelihood of infertility. In GIFT, the sperm and eggs are mixed together before a doctor inserts them. Coutifaris C, Myers ER, Guzick DS, et al.; NICHD National Cooperative Reproductive Medicine Network. In contrast, anovulation usually manifests itself as irregularity of menstrual periods, that is, unpredictable variability of intervals, duration, or bleeding.

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Anabolic steroids: Popular with bodybuilders and athletes, long-term use can seriously reduce sperm count and mobility. Minimal Ovarian Stimulation (mini-IVF) for IVF Utilizing Vitrification and Cryopreserved Embryo Transfer. (PDF, 406 KB) Reproductive BioMedicine Online, 2010. Infertility is due to hypogonadotropic hypogonadism.

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22 Treatment of Male Infertility Jump to section + Underlying etiology determines the therapeutic course, although male infertility is unexplained in 40% to 50% of cases. Endometriosis may be treated through laparoscopic surgery. Once patients desire to have children, they proceed with stimulation of the ovaries, oocyte aspiration, and in vitro fertilization, but the embryos are transferred to a gestational carrier (see In Vitro Fertilization). If too many embryos develop, one or more can be removed. Spermatid Conception. (PDF, 1 MB) Human Reproduction, 1998. About one out of every three cases of infertility is due to the man alone, and we're somehow involved in infertility about half the time. A mouse study has suggested that ingredients in some household detergents may reduce fertility. Sperm Granuloma and Reversibility of Vasectomy. (PDF, 11 MB) Lancet, 1977. There are tests that may tell if you have fertility problems.