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Laparoscopy for Cryptorchidism. (PDF, 1 MB) The Journal of Urology, 1980. Male infertility tests: Going under the microscope Identifying the cause of a man's infertility is as much an art as a science. “The first step is an evaluation by a physician specializing in male infertility,” says Stephen Shaban, MD, a urologist specializing in male reproductive medicine and microsurgery in Raleigh, North Carolina.

Mumps: If this occurs after puberty, inflammation of the testicles may affect sperm production. Chlamydia test: Chlamydia can affect fertility, but antibiotics can treat it. For example, treatment for Hodgkin disease has been estimated to lead to infertility in as many as 80-100% of patients. Coital frequency is positively correlated with pregnancy rates.

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Instruments can be introduced through the hysteroscope, allowing the surgeon to remove or correct any anatomic abnormalities. Hypothyroidism: Low thyroid hormone levels--can cause poor semen quality, poor testicular function and may disturb libido.  May be caused by a diet high in iodine.  Reducing iodine intake or beginning thyroid hormone replacement therapy can elevate sperm count.  This condition is found in only 1 percent of infertile men. In some cases, simply removing the submucosal fibroid solves infertility.

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Renal Transplantation Between Adults and Children. (PDF, 1 MB) Journal of the American Medical Association, 1974. Risk factors Risk factors that increase the risk include: Smoking significantly increases your risk of infertility Age: The ability to conceive starts to fall around the age of 32 years. Treatment of Uterine Factors Until in vitro fertilization became available, a patient with congenital absence of the uterus and vagina (Rokitansky-Küster-Hauser syndrome) had no chance to have a biologic child. Couples who do not conceive after treatment for six cycles with documented ovulation should also consider referral to an infertility specialist. As in the case of sterility, the process will get under way right away in those cases where there is a background of reproduction issues.

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For example, 10 to 15 percent of untreated chlamydia cases will lead to pelvic inflammatory disease (PID). Use of clomiphene citrate in infertile women: a committee opinion. Causes in men The following are common causes of infertility in men. This study was carried out in accordance with the requirements of the University of Bristol Regulations and Code of Ethics for Research Programmes. Do you have any medical problems or prior surgeries? Controversy exists regarding whether to routinely repair an adolescent varicocele not associated with testicular atrophy. A woman comes to your consultation-hour and you diagnose an ovarian hyperstimulation syndrome. Microscopic Vasectomy Reversal. (PDF, 31 MB) Fertility and Sterility, 1977. Gas tends to rise, and when a pocket of CO2 rises in the abdomen, it pushes against the diaphragm (the muscle that separates the abdominal from the thoracic cavities and facilitates breathing), and can exert pressure on the phrenic nerve. Radiation therapy: If this is aimed near the reproductive organs, it can increase the risk of fertility problems. Cortical deficiency may be seen in patients with adrenal failure due to infection, infarction, or congenital adrenal hyperplasia (CAH). Adolescents with a varicocele and testicular atrophy or lack of growth should similarly consider repair.