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Patients are often short, with small firm testis and gynecomastia, but they have a normal-sized penis. What Forms of Male Infertility are there left to Cure? (PDF, 2 MB) Human Reproduction, 1995.

Patients who do not achieve ovulation after three to six cycles should be referred to an infertility specialist for further treatment. ARTICLES FROM THE 1990s Microsurgery, Andrology, and Its Role in IVF. (PDF, 6 MB) Chapter in text book, Advances in Assisted Reproductive Technology, 1990.

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It is often defined as not conceiving after 12 months of regular sexual intercourse without the use of birth control. Ovulation induction in polycystic ovary syndrome [published corrections appear in J Obstet Gynaecol Can. Sherban and his staff are the most amazing, compassionate, and supportive people.

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Results of one study investigating a cohort of 315 men revealed changes within the hinge region of SF-1 and no rare allelic variants in fertile control men. IVF and other fertility treatments have resulted in an increase in multiple births, provoking ethical analysis because of the link between multiple pregnancies, premature birth, and a host of health problems. Primary infertility is when a couple has not conceived after trying for at least 12 months without using birth control Secondary infertility is when they have previously conceived but are no longer able to. Segmental dysplasia is defined as a vas deferens with at least 2 distinct sites of vasal obstruction. In such circumstances, it is recommended not to prescribe any medication until all basic investigations are done and its results received.

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Couples will have to consider the ethical and emotional aspects of this procedure. Fibroids Non-cancerous growths called fibroids in or around the womb can affect fertility. They include: Clomifene (Clomid, Serophene): This encourages ovulation in those who ovulate either irregularly or not at all, because of PCOS or another disorder. Fertility: assessment and treatment for people with fertility problems. 25 Women with no clear risk of tubal obstruction should be offered hysterosalpingography to screen for tubal occlusion and structural uterine abnormalities. There are a number of advantages to the patient with laparoscopic surgery versus the more common, open procedure. Around one third of couples have difficulty conceiving due to a low sperm count. Sperm Retrieval for Azoospermia and Intracytoplasmic Sperm Injection Success Rates – A Personal Overview.(PDF, 1 MB) Human Fertility, 2010. In addition to the alteration of menstrual periods and infertility, chronic anovulation can cause or exacerbate other long term problems, such as hyperandrogenism or osteopenia. Choose a single article, issue, or full-access subscription.