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Thoracentesis is rarely indicated in cases of pleural effusion. Tumors Cancers and nonmalignant tumors can affect the male reproductive organs directly, through the glands that release hormones related to reproduction, such as the pituitary gland, or through unknown causes. Passive smoking has also been linked to lower fertility. Studies on Testicular Biopsies from Vasectomized Men. (PDF, 18 MB) Chapter 21 from Vasectomy: Immunologic and Pathophysiologic Effects in Animals and Man, 1979. Treatment of tubal obstruction generally requires referral for subspecialty care. If the woman is aged over 35 years, the couple may wish to see a doctor earlier, because fertility testing can take time, and female fertility starts to drop when a woman is in her 30s.

New Concepts in Operative Andrology: A Review. (PDF, 7 MB) International Journal of Andrology, 2000. Sign up for the free AFP email table of contents.Fertility Articles – PDF Archive | Infertility Center If you have any questions, you may call us at  (314) 576-1400. Consequently, the patient with PCOS becomes responsive to CC ovulation induction. It is important to tell a doctor if excessive mental and emotional stress develop.

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Treatment of Female Infertility: Assisted Reproductive Technology (ART) Assisted Reproductive Technology (ART) is a term used to collectively describe a number of noncoital methods of conception that treat causes of infertility not responsive to conventional methods. If GnRH is not secreted, the pituitary does not release LH and FSH. Most typical are decreased libido, erectile dysfunction, orgasmic dysfunction, and ejaculatory dysfunction. It can also help if a man has severe erectile dysfunction. Less than 50% motility may significantly affect the ability for sperm to fertilize the egg without therapy; and (4) morphology, or shape – there are three parts of the sperm that are analyzed for morphology: the head, midpeice, and tail.

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In such circumstances, it is recommended not to prescribe any medication until all basic investigations are done and its results received. Sterility is classified into two groups, primary and secondary. Intrauterine insemination is a process by which sperm is washed and prepared for placement into the uterine cavity, therefore bypassing the cervix and bringing a higher concentration of motile sperm closer to the tubes and ovulated egg.

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The fertilized embryo is then transferred to womb. Women who have a body weight 10% to 15% below normal may have reduced fertility. Hypospadias: The urethral opening is under the penis, instead of its tip. Laparoscopy is an operation performed in the abdomen or pelvis through small incisions, generally no more than a centimeter, with the assistance of a laparoscope attached to a camera which projects to a screen. Successful Vitrification of Bovine and Human Ovarian Tissue. (PDF, 3 MB) Reproductive BioMedicine Online, 2009. Recombination Between Palindromes P5 and P1 on the HUman Y Chromosome Causes Massive Deletions and Spermatogenic Failure. (PDF, 786 KB) The American Journal of Human Genetics, 2002. Testosterone is a key hormone for male fertility, so problems with the testes that produce this hormone may lead to infertility. Sperm Granuloma and Reversibility of Vasectomy. (PDF, 11 MB) Lancet, 1977. To avoid this complication, the circulating nurse must record the amount of distention fluid injected and the amount recovered in the suction device. A sperm count of under 15 million is considered low.