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Generally, evaluation should be offered to couples who have not conceived after one year of unprotected vaginal intercourse. Microscopic Vasovasostomy and Spermatogenesis. (PDF, 1 MB) The Journal of Urology, 1977. Chlamydia test: Chlamydia can affect fertility, but antibiotics can treat it. The rest of the time, it is because of both partners or no cause can be found.

Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatment. Controversies in OB/GYN: Is Varicocelectomy Useful for Treatment of Male-factor Infertility? (PDF, 4 MB)Contemporary OB/GYN, 2001. In another third of cases, it is because of the man. Clean, Intermittent Self-catheterization in the Treatment of Urinary Tract Disease. (PDF, 2 MB) The Journal of Urology, 1972.

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ICSI with Epididymal and Testicular Sperm Retrieval. (PDF, 1 MB) Male Sterility and Motility Disorders: Etiological Factors and Treatment, 1998. In women whose ovulation is suppressed by hyperprolactinemia (high blood levels of the pituitary hormone prolactin), ovulation may be induced with prolactin-suppressing drugs. Normal sperm have a smooth oval head approximately 3-5 μm long and 2-3 μm wide. The urine specimen must be centrifuged immediately. These microdeletions are not observed on regular karyotype testing; rather, their identification requires polymerase chain reaction (PCR)–based sequence-tagged site mapping or Southern blot analysis. The eggs may never be released or they may only be released in some cycles.

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Men with this type of male infertility have normal sperm in the testicles. Practice Committee of the American Society for Reproductive Medicine. Judaism and Reproductive Technology. (PDF, 2 MB) 2010.

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The most common disorders impacting ovulation include polycystic ovary syndrome (PCOS), hypogonadotropic hypogonadism (from signaling problems in the brain), and ovarian insufficiency (from problems of the ovary). 8,26,27 As opposed to laparoscopy or hysteroscopy, hysterosalpingography is a minimally invasive procedure with potentially therapeutic effects and should be considered before more invasive methods of assessing tubal patency. Intra-uterine insemination for male subfertility. Drugs used for both women and men[67] include clomiphene citrate, human menopausal gonadotropin (hMG), follicle-stimulating hormone (FSH), human chorionic gonadotropin (hCG), gonadotropin-releasing hormone (GnRH) analogues, aromatase inhibitors, and metformin. Mittelschmerz and premenstrual symptoms tend to be absent or reduced when a woman is anovulatory. Unexplained infertility is not the same thing as having no explanation, but rather reflects the fact that the tests performed have been normal. Varicocele A varicocele is a dilation of the veins of the pampiniform plexus of the scrotum. Fertility awareness methods are used to discern when these changes occur by tracking changes in cervical mucus or basal body temperature. The Relationship of Abnormal Semen Parameters to Male Fertility. (PDF, 4 MB) Human Reproduction, 1989.