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A review of systems and physical examination of the endocrine and gynecologic systems should be performed. A thorough physical exam can detect varicocele and give clues to hormone problems.

Apparently there are only 0,014% of them (this could be an explanation of why they were not discovered until now). Oocyte Vitrification – Women’s Emancipation Set in Stone. (PDF, 70 KB) Fertility and Sterility, 2008. Sperm counts can fluctuate, so that several samples may be necessary. An ovarian insufficiency can also occur from the decreased release of gonadotropins. Povey AC, Clyma JA, McNamee R, et al.; Participating Centres of Chaps-UK.

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Enzymatic Digestion of Testicular Tissue May Rescue the Intracytoplasmic Sperm Injection Cycle in Some Patients with Non-obstructive Azoospermia. (PDF, 66 KB) Human Reproduction, 1998. Illegal drugs: Some women who use marijuana or cocaine may have fertility problems. Tubal occlusion A tubal occlusion means there is a blockage in the fallopian tube.

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Infertility Tests History and physical examination – First and foremost, your fertility physician will take a very thorough medical and fertility history. Several studies have demonstrated that an increase in BMI is correlated with a decrease in sperm concentration, a decrease in motility and an increase DNA damage in sperm. In addition to a careful history, a physical evaluation may also be performed.

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The bladder must be emptied 1 hour prior to sperm collection, and a second dose of sodium bicarbonate is taken along with 16 ounces of fluid. Sperm are then collected, washed, and added to the eggs in the dish. A systematic review of tests predicting ovarian reserve and IVF outcome. If oligospermia or azoospermia is noted, hypogonadism should be suspected. The initial dose is 500 mg PO qd for 7 days, then 500 mg bid for another 7 days, and, finally, 500 mg tid. Infertility is defined as the inability to become pregnant after 12 months of regular, unprotected intercourse. A postoperative HSG should be performed 2 months later. Earn up to 6 CME credits per issue.     To see the full article, log in or purchase access.