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In addition to a careful history, a physical evaluation may also be performed. Pregnancy Caused by Sperm from Vasa Efferentia. (PDF, 1 MB) Fertility and Sterility, 1988. The success of the procedure is related to the diameter of the hydrosalpinx and to the damage to the cilial epithelium. After interviewing the couple together, the man and woman should be interviewed separately to obtain confidential information.

Surgery for epididymal blockage: A blocked epididymis can be surgically repaired. Reduced secretion of cervical mucus due to destruction of the endocervical glands by previous cervical conization, freezing, or laser vaporization responds poorly to low-dose estrogen therapy.

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It involves removing eggs from the ovary of a donor who has taken fertility drugs. The physician or WHNP may also suggest using a conception cap cervical cap, which the patient uses at home by placing the sperm inside the cap and putting the conception device on the cervix, or intrauterine insemination (IUI), in which the doctor or WHNP introduces sperm into the uterus during ovulation, via a catheter. Role of Semen Analysis in Subfertile Couples. (PDF, 250 KB) Fertility and Sterility, 2010.

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Broekmans FJ, Kwee J, Hendriks DJ, Mol BW, Lambalk CB. Signs of Potential Infertility in Women In women, changes in the menstrual cycle and ovulation may be a symptom of a disease related to infertility.

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The FAST study: fertility assessment and advice targeting lifestyle choices and behaviours: a pilot study. Nonchromosomal testicular failure Testicular failure that is nonchromosomal in origin may be idiopathic or acquired by gonadotoxic drugs, radiation, orchitis, trauma, or torsion. RE: The Impalpable Testis: A Rational Approach to Management. (PDF, 389 KB) The Journal of Urology, 1979. The presence of antibodies in serum or seminal plasma is less prognostic than antibodies bound to sperm. Follicle-stimulating hormone (Gonal-F, Bravelle): This hormone is produced by the pituitary gland that controls estrogen production by the ovaries. PID can damage and scar the fallopian tubes, making it virtually impossible for an egg to travel down into the womb. Seminal vesicle aspiration revealing numerous sperm or a dynamic test such as injection of indigo carmine into the seminal vesicle or ejaculatory duct may be necessary for diagnosis.[31] Ejaculation issues Anejaculation/retrograde ejaculation may be due to an open bladder neck or a lack of rhythmic contractions during ejaculation.Causes of Infertility A problem in any one of a number of key processes can result in infertility. Sperm Granuloma and Reversibility of Vasectomy. (PDF, 11 MB) Lancet, 1977. Segmental dysplasia is defined as a vas deferens with at least 2 distinct sites of vasal obstruction.