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Histologically, Leydig cells are polygonal with eosinophilic cytoplasm. License: Public Domain Due to increased levels of prolactin, the pulsatile release of GnRH is inhibited. Vasectomy and Vasectomy Reversal. (PDF, 7 MB) Fertility and Sterility, 1978.

Conditions including PCOS, the presence of excess prolactin, or premature ovarian failure can create ovulation disorders.  Tubal occlusion  According to other research, fallopian tube disorders lead to between 35 and 40 percent of infertility cases. Acquired causes include tumor, infarction, radiation, infection, or granulomatous disease. Women who have a body weight 10% to 15% below normal may have reduced fertility.

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Transplantation of a Human Testis for Anorchia. (PDF, 19 MB) Fertility and Sterility, 1978. For example, endometriosis can cause infertility with the growth of endometrial tissue in the Fallopian tubes or around the ovaries. Clomiphene citrate for unexplained subfertility in women. IVF/ICSI Oocyte retrieval: - ultrasound-guided oocyte retrieval. Fertilization and incubation. Embryo-transfer. - SET or DET. Fluctuations in hormone levels can cause: unexplained weight gain severe acne cold feet and hands reduced sex drive or loss of sexual desire nipple discharge facial hair in females thinning hair on the top of the head Underlying medical conditions Other contributing factors that may affect fertility in women include: damage to the fallopian tubes or ovaries premature menopause PCOS endometriosis cancer and cancer treatments Obesity A 2018 study found that obesity might negatively affect reproductive health.

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Radiation therapy: This can impair sperm production. Known male factor semen abnormalities: If a male partner has a history of infertility with a prior partner, or if there are abnormalities on his semen analysis, then we advise earlier fertility evaluation, ideally within 6 months of attempting pregnancy. Further investigations may be requested according to the clinical presentation and the results of preliminary tests.

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Search dates: January 6, 2014; January 28, 2014; February 5, 2014; and November 18, 2014. Ovulation disorders appear to be the most common cause of infertility in women. Clomiphene citrate (Clomid, Serophene) The chemical formula for clomiphene citrate (CC) is 2-[p -(2-chloro-1,2-difhenylvinyl) phenoxy] triethylamine dihydrogen citrate. A low testosterone level with a low FSH level signals a secondary cause. For example, polycystic ovarian syndrome is when the eggs only partially developed within the ovary and there is an excess of male hormones. Mannitol Induced Central Nervous System Toxicity in Renal Failure. (PDF, 4 MB) Investigative Urology, 1972. Renal Echinococcus. (PDF, 1 MB) The Journal of Urology, 1972. The FAST study: fertility assessment and advice targeting lifestyle choices and behaviours: a pilot study. The following problems are possible: Low sperm count: The man ejaculates a low number of sperm. Management of the infertile couple: an evidence-based protocol.