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Radiation therapy: This can impair sperm production. Ejaculation disorders Ejaculation disorders include premature ejaculation, anejaculation (the failure to ejaculate), and retrograde ejaculation, which is when semen enters the bladder during orgasm instead of coming out the tip of the penis. In many instances, patients can ovulate while on metformin treatment. A mature egg is taken from the mother and fertilized with the sperm in a lab.

Electric or vibratory stimulation to achieve ejaculation: Ejaculation is achieved with electric or vibratory stimulation. Laparoscopic and thoracoscopic surgery belong to the broader field of endoscopy. Obesity and increased risk for oligozoospermia and azoospermia.

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They compete with endogenous GnRH molecules for the pituitary receptors and provoke a massive release of gonadotropins into circulation. Ejaculatory Duct Obstruction. (PDF, 3 MB) The Journal of Urology, 1980. Isolated LH deficiency (fertile eunuch) In these patients, LH levels are decreased while FSH levels are within the reference range. 1 Among couples 15 to 44 years of age, nearly 7 million have used infertility services at some point. Factors affecting Fertility Frequency/Timing of sexual intercourse: - Every 2 to 3 days optimises the chance of pregnancy Obesity: - Women who have BMI of over 30 should be informed that they are likely to take longer to conceive and will affect treatment success rates.

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Medical treatment is a temporary treatment, ideally used for patients who are close to menopause or who are risky surgical candidates. We recommend immediate evaluation for a couple attempting pregnancy when the woman has a prior history of pelvic infection.

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Reversal of Vasectomy and the Treatment of Male Infertility. (PDF, 4 MB) Urologic Clinics of North America, 1981. This method takes several weeks and daily hormone injections are needed to ensure successful implantation. 389 KB ARTICLES FROM THE 1980s Microsurgical Reversal of Female Sterilization: The Role of Tubal Length. (PDF, 2 MB) Fertility and Sterility, 1980. The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. WHO Manual for the Standardized Investigation and Diagnosis of the Infertile Couple. Studies on Testicular Biopsies from Vasectomized Men. (PDF, 18 MB) Chapter 21 from Vasectomy: Immunologic and Pathophysiologic Effects in Animals and Man, 1979. Ultrasound can detect uterine abnormalities such as fibroids and polyps, distal fallopian tube occlusion, and ovarian abnormalities including ovarian cysts. The fertilized eggs, now embryos, are allowed to grow and develop in culture media for typically 3 to 5 days. This elevates the abdominal wall above the internal organs to create a working and viewing space. The patency of the fallopian tubes can also be checked.