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Controversy exists regarding whether to routinely repair an adolescent varicocele not associated with testicular atrophy. Therefore, this problem must be corrected first or concomitantly to obtain an ovulatory response. Preconception lifestyle advice for people with subfertility.

A varicocele is a varicose vein found in the scrotum. Recent Advances in Male Reproductive Surgery. (PDF, 10 MB) Chapter 13 from Annual Progress in Reproductive Medicine, 1993.

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Therefore, pelvic ultrasonography is required before CC is initiated. [207] Pure FSH treatment for ovulation induction is another alternative for patients with PCOS who are clomiphene resistant. A spermiogram control study is performed after 3 cycles of therapy.

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If a semen analysis is found to be abnormal, generally it is first repeated to confirm the abnormality. 2012;27(8):2396–2404.   Want to use this article elsewhere? Luttjeboer F, Harada T, Hughes E, Johnson N, Lilford R, Mol BW.

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Studies have shown that psychological issues contribute to reducing the sperm quality. Causes of this kind of infertility include: Retrograde ejaculation. Women attempting pregnancy at age 40 or older have a 50% decreased fertility rate and a two-fold to three-fold increased risk of spontaneous abortion compared with younger women. Causes of infertility include genetic abnormalities, certain acute and chronic diseases, exposure to certain environmental toxins, smoking, and excessive alcohol use (2). This indicates whether the fallopian tubes are open or blocked. Although relatively uncommon, eating disorders can negatively affect menstruation, fertility, and maternal and fetal well-being. Testicular histology typically reveals a decreased number of Leydig cells and decreased spermatogenesis. During emission, sperm are propelled forward by peristalsis. Therefore, any pituitary malfunctioning affects other glands under its influence, including the ovaries. Because sperm generation time is just over two months, it is recommended to wait three months before repeat sampling. Microscopic Technique for Reversal of Vasectomy. (PDF, 3 MB) Surgery, gynecology & obstetrics, 1976.