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Hysterosalpingogram (HSG) – This test is essential for evaluating fallopian tubal patency, uterine filling defects such as fibroids and polyps, and scarring of the uterine cavity (Asherman syndrome). A specific portion of the androgen receptor gene, exon 1, has been studied in infertile males and a meta-analysis that involved males with idiopathic infertility and fertile controls found that infertility was directly correlated with the length of CAG repeats in this exon.[23] Y chromosome microdeletion syndrome The long arm of the Y chromosome (Yq) is considered critical for fertility, especially Yq11. Close Testing for Women Women should track their ovulation by recording their basal body temperature for several months, checking their cervical mucus using a home ovulation test kit. They can also carry out some basic tests on both partners to see if there is an identifiable reason for not having achieved a pregnancy. Ovulation test kits or monitors are available at pharmacies and can help a woman determine her fertile time.   SOURCES How common is male infertility, and what are its causes?

Products include enzymes and proteases to liquefy the seminal coagulum. An abnormal semen analysis warrants a further evaluation usually by a reproductive urologist.

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Diagnosis and Management of Hypogonadism, Infertility, and Impotence. (PDF, 13 MB) Chapter 22 of textbook,Male Reproductive Dysfunction, 1986. Continued For some men, no male infertility treatments seem to help. Typical characteristics are ascites and cyst formation of the ovaries.

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This improves the chances that the embryo will implant at, or attach to, the wall of the uterus. Apparently there are only 0,014% of them (this could be an explanation of why they were not discovered until now). Perfect Anatomical Reconstruction of Vas Deferens with a new Microscopic Surgical Technique. (PDF, 19 MB)Fertility and Sterility, 1977.

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Various parameters are measured, such as ejaculate volume and sperm density, quality, motility, and morphology. Obese women have a higher rate of recurrent, early miscarriage compared to non-obese women. Moderate alcohol consumption has not been shown to lower fertility in most men, but it may affect those who already have a low sperm count. Similarly, there is no need for testing tubal patency for couples who will require IVF or ICSI procedure. Clinical examination Full clinical examination of both partners usually stands for the underlying physical problem [17-22,24-26], (Appendix 2). It does not affect the couples' life only, but it also affects the healthcare services and social environment [4]. Overweight or obesity: This may reduce the chance of conceiving. The gonadotropins in these formulations are FSH, and in some cases, a combination of FSH and LH (luteinizing hormone). This is called the fulcrum effect.[22] Some surgeries (carpal tunnel for instance) generally turn out better for the patient when the area can be opened up, allowing the surgeon to see "the whole picture" surrounding physiology, to better address the issue at hand. Techniques for the Resolution of Testicular Obstruction. (PDF, 8 MB) Chapter 78 from textbook, Reconstructive Urology, 1992. Ovulation occurs about two weeks before a woman’s next period starts. In closed social groups, a degree of rejection (or a sense of being rejected by the couple) may cause considerable anxiety and disappointment. Partners may become more anxious to conceive, increasing sexual dysfunction.[17] Marital discord often develops, especially when they are under pressure to make medical decisions. The Relationship of Abnormal Semen Values to Pregnancy Outcome. (PDF, 770 KB) Chapter 10 from textbook, 1992.