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For unknown reasons, as women age, egg numbers decrease at a rapid rate. Following his lecture on laparoscopic appendectomy, the president of the German Surgical Society wrote to the Board of Directors of the German Gynecological Society suggesting suspension of Semm from medical practice. This should be followed by documentation of ovulation via serum progesterone.

Conventional IVF vs ICSI (Intra Cytoplasmic Sperm Injection) for Patients Requiring Microsurgical Epididymal Sperm Aspiration (MESA). (PDF, 4 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. A mouse study has suggested that ingredients in some household detergents may reduce fertility. The woman may be given a low dose of ovary stimulating hormones.

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The Most Common Causes of Male Sterility There are several causes of male sterility, including: Abnormal sperm production Impaired delivery of sperm Testosterone deficiency Genetic defects Undescended testes Also, erectile dysfunction or low libido can make the process of procreation that much more difficult. Microsurgery for the Undescended Testicle. (PDF, 5 MB) Urologic Clinics of North America, 1982. Several studies have demonstrated that an increase in BMI is correlated with a decrease in sperm concentration, a decrease in motility and an increase DNA damage in sperm.

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Carcinoma in the Bladder Left Behind. (PDF, 3 MB) The Journal of Urology, 1973. Homologous insemination refers to the use of sperm from the patient's partner.

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However, if the cycle lasts from 21 to 35 days, it’s still considered normal, as long it is consistent. Furthermore, myomas in the uterus lead to occlusions of the lumen and so cause sterility. Some respond by actively avoiding the issue altogether; middle-class men are the most likely to respond in this way.[21] In the United States some treatments for infertility, including diagnostic tests, surgery and therapy for depression, can qualify one for Family and Medical Leave Act leave. Outlook For couples who experience fertility problems and those who wish to have children at an older age, there are more options available than ever before. Embryo Development after ICSI Using Testicular, Epididymal and Ejaculated Spermatozoa. (PDF, 2 MB) Frontiers in Endocrinology, 1995. If no improvement occurs, depending on the amount of functional sperm recovery after the sperm wash, the decision must be made to proceed with either intrauterine insemination or in vitro fertilization. Debate: Are Spermatid Injections of any Clinical Value? (PDF, 6 MB) Human Reproduction, 1998. First Fallopian Tube-Ovary Transplant Carried Out. (PDF, 2 MB) Welcome Trends in Ob/Gyn, 1985. Factors Affecting Fertility (Continued) Various toxic agents, smoking and alcohol may contribute to fertility problems. Treatment Possibilities: Female Infertility Depending on the cause of infertility, there are different possibilities for treatment.