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Sulfasalazine: This anti-inflammatory drug can significantly lower a man's sperm count. Laboratory studies have suggested that long-term acetaminophen use during pregnancy may affect fertility in males by lowering testosterone production. Transmission of Male Infertility to Future Generations: Lessons from the Y Chromosome. (PDF, 303 KB) Human Reproduction Update, 2002. If a woman needs an HCG injection to activate ovulation and ultrasound scans show that too many follicles have developed, it is possible to withhold the HCG injection. Microsurgery in Clinical Urology. (PDF, 5 MB) Urology, 1975.

On Regenerating the Ovary and Generating Controversy. (PDF, 37 KB) Cell, 2005. Semen is the milky fluid that a man's penis releases during orgasm. Sertoli-cell-only syndrome (germinal cell aplasia) Patients with germinal cell aplasia have LH and testosterone levels within the reference range but have an increased FSH level. If the sperm are of good quality and the mechanics of the woman's reproductive structures are good (patent fallopian tubes, no adhesions or scarring), a course of ovulation induction maybe used.

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Review Questions The answers can be found below the references. Simultaneous Treatment of the Wife in Infertile Couples with Oligospermia. (PDF, 4 MB) Fertility and Sterility, 1983. 8 Involvement in group counseling and exercise is more effective than weight loss advice alone.

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Epidemiology of Sterility and Infertility Sterility and infertility affect about 10 – 15% of couples. IVF/ICSI is a process by which the oocyte is fertilized by a sperm outside the body: in vitro, and then a gamete retransferred intrauterine. Any condition that interferes with these events may result in infertility. Microscopic Vasoepididymostomy: Specific Microanastomosis to the Epididymal Tubule. (PDF, 15 MB) Fertility and Sterility, 1978.

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Problems with ejaculation or ejaculate Having difficulty ejaculating or noticing changes in the ejaculate, such as a drop in volume, may also be a sign of an underlying issue related to a man's fertility. However, these tests have only poor to moderate predictive value despite widespread use. Ejaculatory Duct Obstruction. (PDF, 3 MB) The Journal of Urology, 1980. Recovery of Spermatogenesis after Testicle Autotransplantation in an Adult Male. (PDF, 2 MB) Fertility and Sterility, 1982. Therefore, this problem must be corrected first or concomitantly to obtain an ovulatory response. Bensdorp AJ, Cohlen BJ, Heineman MJ, Vandekerckhove P. Renal Transplantation Between Adults and Children. (PDF, 1 MB) Journal of the American Medical Association, 1974. In collaboration with partners, CDC developed the National Public Health Action Plan for the Detection, Prevention, and Management of Infertility, which identifies opportunities to prevent and reduce infertility and improve outcomes for couples undergoing fertility treatment. The enzyme aromatase is responsible for this conversion, and is found primarily in adipose tissue. Aetiology of Congenital Absence of Vas Deferens: Genetic Study of Three Generations. (PDF, 4 MB) Human Reproduction, 1993. Having an irregular cycle, including missing periods, can contribute to infertility, as it means a woman may not be regularly ovulating. 8 Counseling on lifestyle modifications is reasonable because exposures to tobacco and alcohol are associated with lower rates of fertility.