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There are several requirements for male fertility. Anabolic steroids: Popular with bodybuilders and athletes, long-term use can seriously reduce sperm count and mobility. Radiopaque dye is instilled into the uterine cavity through the cervix and x-rays are taken.

There are three types of fibroids: 1) subserosal, or fibroids that extend more than 50% outside of the uterus; 2) intramural, where the majority of the fibroid is within the muscle of the uterus without any indentation of the uterine cavity; and 3) submucosal, or fibroids the project into the uterine cavity. Usually no more than 1 – 2 embryos are transferred, and therefore additional embryos can be frozen, or cryopreserved, for future use; 3) embryo donation – a process where a fully developed embryo from another person in combination w/donor sperm, or couple who underwent IVF, are donated to another woman, the future intended mother, for transfer into her uterus; and 4) gestational surrogacy – a process where another woman will undergo an embryo transfer and carry the pregnancy for another person. 18  If the semen analysis result is abnormal, further evaluation is indicated (Table 36–8,10,19,20).

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Obesity may also lead to less frequent ovulation or to less frequent intercourse, thereby contributing to fertility problems. A review of systems and physical examination of the endocrine and gynecologic systems should be performed.

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Many of these treatment options may have harmful or unpleasant side effects such as nausea, headaches and weight gain. Microsurgical Solutions to Male Infertility. (PDF, 2 MB) Contemporary OB/GYN, 2005.

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Human menopausal gonadotropin, or hMG (Repronex): This contains both FSH and LH. Is Congenital Bilateral Absence of Vas Deferens a Primary Form of Cystic Fibrosis? Causes of Infertility Affecting Both Partners Some causes of infertility, such as psychological causes, may be relevant to both partners. In these methods, fertilization occurs inside the body. Epididymal Extravasation Following Vasectomy as a Cause for Failure of Vasectomy Reversal. (PDF, 22 MB)Fertility and Sterility, 1979. Oligozoospermia refers to a low sperm count under 20 million per milliliter. Some causes, such as hyperprolactinemia, are reversible with proper treatment. Treatment of tubal obstruction generally requires referral for subspecialty care.