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There are many factors that may be causing your fertility difficulties. Microscopic Vasectomy Reversal. (PDF, 31 MB) Fertility and Sterility, 1977. Diagnosis Most people will visit a physician if there is no pregnancy after 12 months of trying.

For this reason, it is less likely to adversely affect the endometrium and cervical mucus. Mannitol Induced Central Nervous System Toxicity in Renal Failure. (PDF, 4 MB) Investigative Urology, 1972. Pregnancy After Testicular Transplant: Importance of Treating the Couple. (PDF, 5 MB) Fertility and Sterility, 1980. If stem cells remain viable after radiation therapy, patients may regain fertility within several years.

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Perspectives on infertility consultations in primary care: a qualitative study. This leads to increased androgen secretion from the adrenal gland, causing feedback inhibition of GnRH release from the hypothalamus. Assessment of efficacy of varicocele repair for male subfertility: a systematic review. But if you haven’t had a period in months, it’s time to get your fertility checked. We recommend immediate evaluation for a couple attempting pregnancy when the woman has a prior history of pelvic infection. Laboratory studies have suggested that long-term acetaminophen use during pregnancy may affect fertility in males by lowering testosterone production.

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8 These studies are more sensitive and may delineate an abnormally formed uterus or structural problems, such as fibroids. Choose a single article, issue, or full-access subscription. A doctor or WHNP takes a medical history and gives a physical examination. Paternal age > or = 40 years: an important risk factor for infertility. 3,4  Infertility may arise from male factors, female factors, or a combination of these (Table 15–8). Generally, evaluation should be offered to couples who have not conceived after one year of unprotected vaginal intercourse.

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Even if you choose not to have your activity tracked by third parties for advertising services, you will still see non-personalized ads on our site. The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999. Apparent Fertility of Human Spermatozoa from the Caput Epididymidis. (PDF, 4 MB) Journal of Andrology, 1989. Intrauterine insemination (IUI): At the time of ovulation, a fine catheter is inserted through the cervix into the uterus to place a sperm sample directly into the uterus. Because of a defect in the dynein arms, spokes, or microtubule doublet, cilia in the respiratory tract and in sperm do not function properly. In vitro fertilization (IVF). In this technique, your doctor places into your uterus that were fertilized in a dish. Oligozoospermia refers to a low sperm count under 20 million per milliliter. Laparoscopy: A thin, flexible tube with a camera at the end is inserted into the abdomen and pelvis, allowing a doctor to look at the fallopian tubes, uterus, and ovaries. If the epididymis is blocked, sperm may not be ejaculated properly.