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The percentage of body fat should be greater than 22% to permit regular ovulatory cycles. Microsurgery Successful in Vasectomy Reversals. (PDF, 156 KB) The New York Times, 1975. Before surgery, the HSG films and results of previous laparoscopies should be thoroughly reviewed to decide on the type of surgical technique that is required and to explain to the patient the expected degree of success and risks involved with the procedure. If you’ve been diagnosed with infertility, or fear you may have trouble conceiving in the future, you’re not alone. Microsurgical Epididymal Sperm Aspiration and Assisted Reproductive Techniques. (PDF, 4 MB) Frontiers in Human Reproduction, 1991.

Additionally, there is concern that the stress of a strict schedule for intercourse may lead to reduced frequency of intercourse. Hyperprolactinemia: If prolactin levels are high, and the woman is not pregnant or breastfeeding, it may affect ovulation and fertility. Sperm motility Motility is described as the percent of sperm present with flagellar motion viewed on a bright-field or phase-contrast microscope. After ruling out female infertility concerns, tests for male infertility may be needed. Perfect Anatomical Reconstruction of Vas Deferens with a new Microscopic Surgical Technique. (PDF, 19 MB)Fertility and Sterility, 1977.

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Thyroid problems: An overactive or underactive thyroid gland can lead to a hormonal imbalance. Infertility caused by DNA defects on the Y chromosome is passed on from father to son. The enzyme aromatase is responsible for this conversion, and is found primarily in adipose tissue.

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This was set up on 1 August 1991 following a detailed commission of enquiry led by Mary Warnock in the 1980s A similar model to the HFEA has been adopted by the rest of the countries in the European Union. When a man ejaculates and releases semen through the penis, the seminal fluid, or semen, helps transport the sperm toward the egg. This test is usually performed in a radiology facility About 25% of all infertility is due to a tubal factor Laparoscopy This is a surgical procedure and should not be performed until the basic testing has been done on both partners. There's a link between increased temperature of the scrotum and reduced semen quality, but it's uncertain whether wearing loose-fitting underwear improves fertility.  Testicles The testicles produce and store sperm. Idiopathic hypogonadotropic hypogonadism A failure of GnRH secretion without any discernible underlying cause may be observed alone (isolated) or as part of Kallmann syndrome, which is associated with midline defects such as anosmia, cleft lip and cleft palate, deafness, cryptorchidism, and color blindness.

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Semen that is not initially a coagulum is often an indication of an ejaculatory duct obstruction or the absence of seminal vesicles. The vas is divided into the convoluted, scrotal, inguinal, retroperitoneal, and ampullary regions and receives its blood supply from the inferior vesical artery. Other testing may be needed based on circumstances, including testicular biopsy, genetic testing, and imaging (Table 36–8,10,19,20). A decreased testosterone level with an increased FSH level points to primary hypogonadism. Effect of male age on fertility: evidence for the decline in male fertility with increasing age. Evaluation of cervical mucus is unreliable; therefore, investigation is not helpful with the management of infertility. Testicle pain or swelling There are several different conditions that could lead to pain or swelling in the testicles, many of which could contribute to infertility. A cumulative pregnancy rate of 80% is achieved during the first 6 cycles of therapeutic insemination. Oei SG, Helmerhorst FM, Bloemenkamp KW, Hollants FA, Meerpoel DE, Keirse MJ. Thus, pelvic ultrasonography has become an important tool for monitoring ovulation induction. RE: The Impalpable Testis: A Rational Approach to Management. (PDF, 389 KB) The Journal of Urology, 1979.