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Illegal drugs: Consumption of marijuana and cocaine can lower the sperm count. 1,2 However, if your partner is 35 years old or over, you or your partner may be considered infertile if you haven’t conceived after 6 months of unprotected sex. If a woman needs an HCG injection to activate ovulation and ultrasound scans show that too many follicles have developed, it is possible to withhold the HCG injection. Vasoepididymostomy to the Head of the Epididymis: Recovery of Normal Spermatozoal Motility. (PDF, 3 MB)Fertility and Sterility, 1980. These patients are often tall and severely oligospermic or azoospermic. Ultrasound: This may reveal issues such as ejaculatory duct obstruction or retrograde ejaculation.

The 2 techniques are the Strassman metroplasty and the Jones metroplasty. The application of artificial insemination usually is made after previous medicamentous treatment.

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This similarity is sufficient to achieve binding by estrogen receptors, including the receptors of the hypothalamus. Graft-versus-host Reactivity and Renal Allograft Survival in Rats Given Allogeneic Spleen Cells or Spleen Allografts.(PDF, 2 MB) Transplantation, 1976. The Use of Epididymal Sperm in Assisted Reproduction. (PDF, 8 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994.

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A small incision is made in the abdomen, and a thin, flexible microscope with a light at the end, called a laparoscope, is inserted through it. The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999. If necessary, they refer patients to a fertility clinic or local hospital for more specialized tests. Microsurgical Reversal of Tubal Sterilization: Factors Affecting Pregnancy Rate, with Long-term Follow-up. (PDF, 2 MB) Obstetrics & Gynecology, 1984. High Fertilization and Pregnancy Rate after Intracytoplasmic Sperm Injection with Spermatozoa Obtained from Testicle Biopsy. (PDF, 3 MB) Human Reproduction, 1995.

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Infertility is more likely in men who have had this condition. The menopause is premature when it occurs before 40 years of age. Effect of male age on fertility: evidence for the decline in male fertility with increasing age. Your doctor will determine if you are at risk of having endometriosis based on a careful history, physical exam, and ultrasound. The findings of the biopsy help determine whether the endometrium is adequately developed to support implantation and growth of a fertilized egg. Definition of Infertility Infertility is defined as the inability to conceive after 12 months of having sexual intercourse with average frequency, without the use of any form of birth control.