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However, about one in five cases of infertility has no clear diagnosed cause.[73] In Britain, male factor infertility accounts for 25% of infertile couples, while 25% remain unexplained. Infrequent and light menstruation occurs in about 40% of women with ovulatory dysfunction. Typical drugs are clomifene, cyclofenil, tamoxifen, and epimestrol among others. RE: The Impalpable Testis: A Rational Approach to Management. (PDF, 389 KB) The Journal of Urology, 1979. Pretesticular causes of infertility Pretesticular causes of infertility include congenital or acquired diseases of the hypothalamus, pituitary, or peripheral organs that alter the hypothalamic-pituitary axis.

Prolonged diestrus can result from luteal cysts in the ovary. The 3 classes of surgical techniques are conventional laparotomy, operative laparoscopy, and operative hysteroscopy, as follows: Laparotomy: This technique is indicated for large myomas, for submucous myomas larger than 3 cm in diameter, or for myomas that, regardless of being submucous, have a portion of the myoma that compromises the myometrium so that a complete resection through the hysteroscopy is not feasible. Erectile dysfunction or premature ejaculation: Medication, behavioral approaches, or both may help improve fertility. Blood work to check hormone levels, usually of FSH and testosterone, but sometimes also LH, estradiol, or prolactin. Congenital disorders and chryptorchidism (undescended testicles). Intracytoplasmic Sperm Injection and Infertility. (PDF, 53 KB) Nature Genetics, 2001.

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Diverse Spermatogenic Defects in Humans Caused by Y Chromosome Deletions Encompassing a Novel RNA-binding Protein Gene. (PDF, 2 MB) Human Reproduction, 1996. Chronic conditions: These include AIDS or cancer. A varicocele is a varicose vein found in the scrotum.

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Up to 2 percent of men are thought to have suboptimal sperm. Therefore, we recommend an evaluation if menstrual cycles are infrequent or irregular in a couple attempting pregnancy. Orchitis The most common cause of acquired testicular failure in adults is viral orchitis, such as that caused by the mumps virus, echovirus, or group B arbovirus. Testosterone is a key hormone for male fertility, so problems with the testes that produce this hormone may lead to infertility.

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Non-steroidal anti-inflammatory drugs (NSAIDs): Long-term use of aspirin or ibuprofen may make it harder to conceive. Myth MYTH: If men ejaculate, they are fertile TRUTH: Ejaculation doesn't mean fertility. 8,26,27 As opposed to laparoscopy or hysteroscopy, hysterosalpingography is a minimally invasive procedure with potentially therapeutic effects and should be considered before more invasive methods of assessing tubal patency. This should be followed by documentation of ovulation via serum progesterone. Listen to Professor Cheong talk about the fertility investigations we offer       Repeated pregnancy loss Some people may not have difficulty conceiving, but have suffered from miscarriages. Round Spermatid Injection. (PDF, 422 KB) Fertility and Sterility, 2000. Laparoscopy for Cryptorchidism. (PDF, 1 MB) The Journal of Urology, 1980. IVF is Generally Performed in the Following Manner: The woman undergoes gonadotropin injections, which stimulate the ovaries to produce many eggs.