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Further reading[edit] Fertility: Assessment and Treatment for People with Fertility Problems. Successful Pregnancy and Delivery after Calcium Ionophore Oocyte Activation in a Normozoospermic Patient with Previous Failed Fertilization after Intracytoplasmic Sperm Injection. (PDF, 57 KB) Fertility and Sterility, 2003.

MESA or TESA? (PDF, 115 KB) Human Reproduction, 1996. The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999.

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Surgical procedures are now rarely used because of the high success rate of other infertility treatments.  IUI: Fertility doctors may also recommend intrauterine insemination or IUI. The Prevention of Acute Tubular Necrosis in Renal Transplantation by Chronic Salt Loading of the Recipient. (PDF, 627 KB) ANZ Journal of Surgery, 1974. The good news is that most cases of male infertility can be resolved either by treating the problem or using fertility treatments. Fertilizing Capacity of Epididymal and Testicular Sperm with ICSI. (PDF, 5 MB) Frontiers in Endocrinology, 1995. Investigations Infertile couples are usually adviced to start their investigations after 12 months of trying to conceive or after 6 months if the female partner is more than 35 years old or immediately if there is an obvious cause for their infertility or subfertility [16].

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We now have 2 amazing children who are now 5 and 3 years old! The couple should make sure to have sex during the three days before ovulation. To accomplish this, the literature was searched for the keywords of "Management of infertility, infertile couples" at library website of University of Bristol (MetaLib) by using a cross-search of different medical databases such as ... This can help a man who cannot ejaculate normally, for example, because of a spinal cord injury. Quantitative Analysis of Testicle Biopsy: Determination of Partial Obstruction and Prediction of Sperm Count after Surgery for Obstruction. (PDF, 4 MB) Fertility and Sterility, 1981. However, a woman who does not ovulate at each menstrual cycle is not necessarily going through menopause.

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Testicular neoplasia, commonly producing estrogen, usually causes infertility. Alternatively, cabergoline can be used orally or vaginally weekly at a starting dose of 0. Conventional IVF vs ICSI (Intra Cytoplasmic Sperm Injection) for Patients Requiring Microsurgical Epididymal Sperm Aspiration (MESA). (PDF, 4 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. Microscopic Vasoepididymostomy: Specific Microanastomosis to the Epididymal Tubule. (PDF, 15 MB) Fertility and Sterility, 1978. A varicocele is like a varicose vein that can appear in the leg. Treatment options available for any particular infertile couple will depend also on the duration of their infertility, which partner is affected, the age of the female partner and if any has a previous children or not, the underlying pathological cause, and if the treatment will be covered by the National Health System (NHS) or funded by their own. Experts differ as to when genetic tests should be done. 6 The initial history should cover menstrual history, timing and frequency of intercourse, previous use of contraception, previous pregnancies and outcomes, pelvic infections, medication use, occupational exposures, substance abuse, alcohol intake, tobacco use, and previous surgery on reproductive organs. Primary testicular causes of infertility Primary testicular problems may be chromosomal or nonchromosomal in nature. The best candidates for tubal reanastomosis are patients who had tubal ligation by the method of fallopian ring, Filshie clip, or Pomeroy. [144] The pregnancy rate following a tubal reanastomosis performed by a skilled surgeon fluctuates from 70-80%.