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Hypothalamic-pituitary-gonadal axis stimulatory and inhibitory signals. Around 1/3 of infertility cases are caused by fertility problems in men4 1/3 of infertility cases are caused by fertility problems in women4 1/3 of infertility cases are caused by a mixture of male and female problems, or by problems that cannot be determined4 Infertility doesn’t necessarily mean that you won’t ever have children, but you may need the help of fertility treatment to conceive. Transplantation of Rat Kidneys with Acute Tubular Necrosis into Salt-loaded and Normal Recipients. (PDF, 2 MB)Surgery, 1975.

Chromosomal causes and, in particular, Klinefelter syndrome. Epidemiology of Sterility and Infertility Sterility and infertility affect about 10 – 15% of couples. If you’re worried about your fertility, the best thing to do is talk to your doctor. Tubal catheterisation or cannulation: - With proximal tubal obstruction, selective salpingography plus tubal catheterisation, or hysteroscopic tubal cannulation, may be treatment options. Intracytoplasmic sperm injection (ICSI.)A single sperm is injected through a tiny needle into an egg. Normal immunologic responses to accommodate sperm and conceptus.

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Ejaculatory Incompetence: This rare psychological condition prevents men from ejaculating during sexual intercourse even though they can ejaculate normally through masturbation.  This condition sometimes responds well to behavioral therapy; if this technique does not work, artificial insemination can be employed using an ejaculate from masturbation.Continued Hysteroscopy . In this procedure, your doctor places a hysteroscope into your uterus through your cervix. The Intra-abdominal Testes: Microvascular Autotransplantation. (PDF, 4 MB) The Journal of Urology, 1981. Recovery of Spermatogenesis after Testicle Autotransplantation in an Adult Male. (PDF, 2 MB) Fertility and Sterility, 1982. 33 Use of antioxidants such as zinc, vitamin E, or l-carnitine showed increased live birth rates in three small randomized controlled trials in couples undergoing assisted reproductive technology. Temporal relationship and reliability of the clinical, hormonal, and ultrasonographic indices of ovulation in infertile women. The ovulation induction agents used include clomiphene citrate, hMG, hCG, recombinant FSH, and recombinant LH.

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A decreased testosterone level with an increased FSH level points to primary hypogonadism. Genetic karyotyping, if a recurrent miscarriage is a problem. Sperm Granuloma and Reversibility of Vasectomy. (PDF, 11 MB) Lancet, 1977. Women ovulate — send an egg down into the uterus — once a month. Varicocele: Surgically removing a varicose vein in the scrotum may help. Risk factors for the formation of antisperm antibodies in men include the breakdown of the blood‑testis barrier, trauma and surgery, orchitis, varicocele, infections, prostatitis, testicular cancer, failure of immunosuppression and unprotected receptive anal or oral sex with men.[23][24] Sexually transmitted infections[edit] Infections with the following sexually transmitted pathogens have a negative effect on fertility: Chlamydia trachomatis and Neisseria gonorrhoeae.

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Here, the hormones FSH (= follicle stimulating hormone) and LH (= luteinizing hormone) play an important role. The content of counselling may differ depending on the concerned couple and the existing treatment options. 42 Urinary luteinizing hormone kits indicate the midcycle luteinizing hormone surge that precedes ovulation by one to two days. Carcinoma in the Bladder Left Behind. (PDF, 3 MB) The Journal of Urology, 1973. Infectious, anatomic, metabolic, and functional problems associated with infertility are seen less frequently. (Also see Infertility.) The only confirmed infectious cause of infertility in the bitch is brucellosis (see Brucellosis in Dogs).