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Sperm Granuloma and Reversibility of Vasectomy. (PDF, 11 MB) Lancet, 1977. The doctor or WHNP may also be able to suggest lifestyle changes to increase the chances of conceiving.[65] Women over the age of 35 should see their physician or WHNP after six months as fertility tests can take some time to complete, and age may affect the treatment options that are open in that case. Outside pregnancy and lactation, women with high levels of prolactin may have irregular ovulation cycles and fertility problems.

Artificial Insemination In this process, male sperm is introduced into the female genital tract in order to achieve fertilization. Hypothyroidism: Low thyroid hormone levels--can cause poor semen quality, poor testicular function and may disturb libido.  May be caused by a diet high in iodine.  Reducing iodine intake or beginning thyroid hormone replacement therapy can elevate sperm count.  This condition is found in only 1 percent of infertile men. Blockage of the ejaculatory duct: Sperm can be extracted directly from the testicles and injected into an egg in the laboratory. In this procedure, 5–10 mm diameter instruments (graspers, scissors, clip applier) can be introduced by the surgeon into the abdomen through trocars (hollow tubes with a seal to keep the CO 2 from leaking). In 1981, Semm, from the gynecological clinic of Kiel University, Germany, performed the first laparoscopic appendectomy.

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This combination of laboratory test results may indicate ovarian insufficiency or diminished ovarian reserve. For conception to take place, several events should happen correctly and at exactly the right time. Are Sequence Family Variants Useful for Identifying Deletions in the Human Y Chromosome? (PDF, 377 KB) The American Journal of Human Genetics, 2004. Endometrial biopsy should be performed only in women with suspected pathology (chronic endometritis or neoplasia).

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Between 45 and 50 percent of cases are thought to stem from factors that affect the man. Do you have pain with menstrual periods or intercourse?

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Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics. Quantitative Analysis of Testicle Biopsy: Determination of Partial Obstruction and Prediction of Sperm Count after Surgery for Obstruction. (PDF, 4 MB) Fertility and Sterility, 1981. Ongoing Pregnancies and Birth after Intracytoplasmic Sperm Injection with Frozen-thawed Epididymal Spermatozoa. (PDF, 442 KB) Human Reproduction, 1995. Studies on Testicular Biopsies from Vasectomized Men. (PDF, 18 MB) Chapter 21 from Vasectomy: Immunologic and Pathophysiologic Effects in Animals and Man, 1979. There may be testicular malformations, hormone imbalance, or blockage of the man's duct system. If necessary, they refer patients to a fertility clinic or local hospital for more specialized tests. Problems in the uterus or fallopian tubes can prevent the egg from traveling from the ovary to the uterus, or womb. In theory, it is possible to conceive on any of these 6 days that occur before and during ovulation. Symptoms include: bloating constipation dark urine diarrhea nausea abdominal pain vomiting They are usually mild and easy to treat.


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See also
Prevention for Infertility
Advanced Infertility Center of Chicago
Infertility in Humans Pdf