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Bensdorp AJ, Cohlen BJ, Heineman MJ, Vandekerckhove P. Hysterosalpingogram (HSG) – This test is essential for evaluating fallopian tubal patency, uterine filling defects such as fibroids and polyps, and scarring of the uterine cavity (Asherman syndrome).

Castration of the affected testis may allow the other testis to regain its ability to produce sperm, but the prognosis is guarded. Most problems are related to premature labor and pregnancy loss.

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Women older than 35 years or couples with known risk factors for infertility may warrant evaluation at six months. In men who have the necessary reproductive organs to procreate, infertility can be caused by low sperm count due to endocrine problems, drugs, radiation, or infection. The most common cause of male infertility is varicoceles.

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Epididymal Extravasation Following Vasectomy as a Cause for Failure of Vasectomy Reversal. (PDF, 22 MB)Fertility and Sterility, 1979. World Health Organization reference values for human semen characteristics. Problems with the female reproductive system can also contribute to fertility issues.Table of contents Causes in men Causes in women Treatment Types Diagnosis Complications Outlook It may be that one partner cannot contribute to conception, or that a woman is unable to carry a pregnancy to full term.

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Medications, treatments, and drugs Some drugs can affect fertility in a woman. The cystic fibrosis transmembrane regulator (CFTR) protein plays a role in mesonephric duct development during early fetal life, so these patients may also have urinary tract abnormalities. It can also help if a man has severe erectile dysfunction. Idiopathic Hypercalciuria. (PDF, 1 MB) New England Journal of Medicine, 1971. A typical disease is polycystic ovarian syndrome. The incidence of congenital malformation in IVF babies ranges between 2% and 3% worldwide and is similar to that in babies conceived naturally [45]. Men should undergo evaluation with a semen analysis. If a lack of sperm is suspected, surgery, hormones and assisted reproductive surgery can correct the problem. Transsphenoidal resection of a microprolactinoma is 80-90% successful, but as many as 17% recur.