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Overheated testicles: Causes include an undescended testicle, a varicocele, or varicose vein in the scrotum, the use of saunas or hot tubs, wearing tight clothes, and working in hot environments. The Relationship of Abnormal Semen Parameters to Male Fertility. (PDF, 4 MB) Human Reproduction, 1989. Those with a varicocele diagnosable only on scrotal ultrasonography have subclinical varicoceles and will likely not benefit from repair.

Tubal obstruction and lysis of adhesions can be corrected through laparotomy, operative laparoscopy, and, in special circumstances, through operative hysteroscopy and tubal cannulation. As part of the fertility evaluation, we will perform an HSG, a test designed to evaluate if the fallopian tubes are open. This can reveal signs of endometriosis, scarring, blockages, and some irregularities of the uterus and fallopian tubes. 6-Mb Deletion of the Human Y Chromosome Persists Through Balance Between Recurrent Mutation and Haploid Selection. (PDF, 295 KB) Nature Genetics, 2003.

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Other hormones including inhibin B and leptin, may also be affected by obesity. Sperm counts can fluctuate, so that several samples may be necessary. Your physician will refer you to a reproductive urologist if appropriate.

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Zygote Intrafallopian Transfer (ZIFT) Zygote Intrafallopian Transfer (ZIFT) is another variation of IVF. Epididymal and Testicular Spermatozoa and Intracytoplasmic Sperm Injection. (PDF, 7 MB) Assisted Reproduction Reviews, 1996. Signs of infertility in women In women, signs of infertility may include: Pain during sex Pain during sex, or dyspareunia, can be a sign of an underlying health problem that may influence a woman's fertility. Perfect Anatomical Reconstruction of Vas Deferens with a new Microscopic Surgical Technique. (PDF, 19 MB)Fertility and Sterility, 1977. Removal of polyps by the minimally invasive procedure hysteroscopy is associated with a doubling of pregnancy rate.

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Transvaginal ultrasound – Ultrasound is an important tool in evaluating the structure of the uterus, tubes, and ovaries. Aromatase inhibitors are available for clinical use and FDA approved for treatment of postmenopausal breast cancer, but not for ovulation induction. At this point, psychological consultation and support should be provided [44]. No Differences in Outcome after Intracytoplasmic Sperm Injection with Fresh or with Frozen-thawed Epididymal Spermatozoa. (PDF, 66 KB) Human Reproduction, 1999. Evaluation of the uterus and fallopian tubes can be performed by hysterosalpingography in women with no risk of obstruction. Illegal drugs: Some women who use marijuana or cocaine may have fertility problems. Low sperm mobility (motility): The sperm cannot "swim" as well as they should to reach the egg. Embryo Development after ICSI Using Testicular, Epididymal and Ejaculated Spermatozoa. (PDF, 2 MB) Frontiers in Endocrinology, 1995. Worldwide, 8 to 12 percent of couples experience fertility problems. Infertility in women Infertility is most commonly caused by problems with ovulation, the monthly release of an egg. Fertility treatments for men Treatment will depend on the underlying cause of the infertility. Treatment The cost of infertility treatment is high [34].