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These patients are often tall and severely oligospermic or azoospermic. A varicocele is like a varicose vein that can appear in the leg. 8 Couples with unexplained infertility may want to consider another year of intercourse before moving to more costly and invasive therapies, such as assisted reproductive technology.

Ideally, the cause of the infertility is reversible and then conception can result from natural sex. Aromatase inhibitors are available for clinical use and FDA approved for treatment of postmenopausal breast cancer, but not for ovulation induction.

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Ductal blockage, as a result of an infection or congenital abnormality, may occur in the ducts that carry sperm from the testicles to the penis. 8,45 Figure 1 provides an algorithmic approach to the evaluation of infertility.   Enlarge      Print Infertility Evaluation Figure 1.

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In addition, fertility treatments can be associated with health problems for women and resulting children (2), especially those related to the increased risk for multiple gestation. A mature egg is taken from the mother and fertilized with the sperm in a lab. Apparent Fertility of Human Spermatozoa from the Caput Epididymidis. (PDF, 4 MB) Journal of Andrology, 1989. Controversies in OB/GYN: Is Varicocelectomy Useful for Treatment of Male-factor Infertility? (PDF, 4 MB)Contemporary OB/GYN, 2001.

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In-Vitro Fertilization (IVF) Image: “Assisted Reproductive Technology” by BruceBlaus. The most common cause of male infertility is varicoceles. Ovulation induction in polycystic ovary syndrome [published corrections appear in J Obstet Gynaecol Can. A systematic review of tests predicting ovarian reserve and IVF outcome. To Transplant or Not to Transplant – That Is the Question. (PDF, 3 MB) 2010. Arcuate uterus In general, an arcuate uterus does not cause infertility. Intracytoplasmic Sperm Injection. (PDF, 4 MB) Chapter 47 from textbook Current Therapy in Equine Reproduction, 2006. Surgeons who choose this hand-assist technique feel it reduces operative time significantly versus the straight laparoscopic approach. Eating disorders: If an eating disorder leads to serious weight loss, fertility problems may arise. Celiac disease A digestive disorder caused by sensitivity to gluten, celiac disease can cause male infertility.