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At least one open tube is required for IUI, and any sperm abnormality cannot be severe, otherwise the sperm will not be able to swim to and fertilize the egg. Female age of 35 years or older: For unclear reasons, egg numbers decrease at a rapid rate as women age. 40 Patients using these agents should be counseled about these risks.

When exercising their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or the people using their service. 6,8 It is important for primary care physicians to be familiar with the workup and prognosis for infertile couples. Low weight: Obesity is not the only way in which weight can impact fertility.

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Sermondade N, Faure C, Fezeu L, Lévy R, Czernichow S; Obesity-Fertility Collaborative Group. Evaluation may be initiated sooner in patients who have risk factors for infertility or if the female partner is older than 35 years. Sperm Granuloma and Reversibility of Vasectomy. (PDF, 11 MB) Lancet, 1977.

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Calcification of the Seminal Vesicles and Vas Deferens in a Uremic Patient. (PDF, 3 MB) The Journal of Urology, 1971. Sperm or egg donation: If necessary, sperm or eggs can be received from a donor. Similarly, bilateral obstruction of the sperm ducts can cause azoospermia and infertility. 549 KB Effect of Age on Male Fertility. (PDF, 5 MB) Chapter from textbook, Seminars in Reproductive Endocrinology, 1991. Also attached is a fiber optic cable system connected to a "cold" light source (halogen or xenon), to illuminate the operative field, which is inserted through a 5 mm or 10 mm cannula or trocar.

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4) In Vitro Fertilization (IVF): In vitro means “outside the body.” IVF is a process whereby eggs are collected and then fertilized by sperm outside the body, in an embryology laboratory. They can also carry out some basic tests on both partners to see if there is an identifiable reason for not having achieved a pregnancy. Ovarian hyperstimulation syndrome (OHSS) usually results from taking medications to stimulate the ovaries, such as clomifene and gonadotrophins. Typical drugs are clomifene, cyclofenil, tamoxifen, and epimestrol among others. Primary Lymphoma of Kidney. (PDF, 586 KB) The Journal of Urology, 1973. Although the sperm count may be slightly decreased by an intercourse frequency of once per day or once every other day, the motility and number of sperm in the healthy male would be sufficient to achieve pregnancy. Drugs used for both women and men[67] include clomiphene citrate, human menopausal gonadotropin (hMG), follicle-stimulating hormone (FSH), human chorionic gonadotropin (hCG), gonadotropin-releasing hormone (GnRH) analogues, aromatase inhibitors, and metformin. For these reasons, minimally invasive surgery has emerged as a highly competitive new sub-specialty within various fields of surgery. An ultrasound scan can detect an ectopic pregnancy.