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A postoperative HSG should be performed 2 months later. Additionally, the quality of her eggs also decreases increases the chance of chromosomal abnormalities.

In addition to functioning as a conduit, the vas also has absorptive and secretory properties. Klinefelter�s Syndrome: Is a genetic condition in which each cell in the human body has an additional X chromosome--men with Klinefelter�s Syndrome have one Y and two X chromosomes.  Physical symptoms include peanut-sized testicles and enlarged breasts.  A chromosome analysis is used to confirm this analysis.  If this condition is treated in its early stages (with the drug hCG), sperm production may commence and/or improve.  However, Klinefelter�s Syndrome eventually causes all active testicular structures to atrophy.  Once testicular failure has occurred, improving fertility is impossible. Primary Lymphoma of Kidney. (PDF, 586 KB) The Journal of Urology, 1973.

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The Three-kidney Rat Model. (PDF, 2 MB) Investigative Urology, 1974. Effects[edit] Psychological[edit] The consequences of infertility are manifold and can include societal repercussions and personal suffering. The Relationship of Abnormal Semen Parameters to Male Fertility. (PDF, 4 MB) Human Reproduction, 1989.

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If a blockage is present, surgery may be necessary. Although relatively uncommon, eating disorders can negatively affect menstruation, fertility, and maternal and fetal well-being.

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As the rate of getting spontaneous pregnancy among infertile or subfertile couples is lower than that among normal fertile population, it is recommended to carry out the following diagnostic, evidence-based, work-up to detect any hidden treatable cause. Structural abnormalities in the uterus: these can affect the cervix or the uterine corpus.  Anomalies can be anatomical (septate uterus, T-shaped uterus, etc.) or pathologies that generate embryo implantation issues or issues with how the pregnancy progresses: polyps, endometritis, Asherman's syndrome - synechiae or adherences of the walls of the uterine cavity - or myomas, a benign tumour that generates anatomical distortion and makes getting pregnant complicated (this is one of the most common pathologies but does not necessarily cause fertility issues). Painful or heavy periods Most women experience cramps with their periods. Infertility may be caused by blockage of the Fallopian tube due to malformations, infections such as chlamydia or scar tissue. They may benefit from referral to a physician comfortable with prescribing pulsatile administration of gonadotropin-releasing hormone or gonadotropins with luteinizing hormone activity to induce ovulation. Microsurgical Aspects of Varicocele. (PDF, 9 MB) Fertility and Sterility, 1979. Erectile dysfunction, vaginismus (painful involuntary spasm of vagina preventing intercourse) and dyspareunia (pain during sexual intercourse) can explain involuntary childlessness in some couples. ARTICLES FROM THE 2000s Evaluation and Treatment of Male Infertility. (PDF, 17 MB) Clinical Obstetrics and Gynecology, 2000. Under current NHS policies, fertility treatment is only funded for those proven infertile, and those where fertility is unexplained but attempts at conception have failed.