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Exogenous testosterone should never be administered in an attempt to boost sperm production because it actually decreases intratesticular testosterone levels owing to feedback inhibition of GnRH release. Factors Affecting Fertility (Continued) Among other factors affecting the probability of conception are: Age of women. If a tube is blocked and filled with fluid (called a hydrosalpinx), then minimally invasive surgery (laparoscopy or hysteroscopy) to either remove the tube or block/separate it from the uterus prior to any fertility treatments is recommended. Poor egg quality: Eggs that are damaged or develop genetic abnormalities cannot sustain a pregnancy. 6 Women with risk factors for tubal obstruction, such as endometriosis, previous pelvic infections, or ectopic pregnancy, should instead be offered hysteroscopy or laparoscopy with dye to assess for other pelvic pathology. Infertility is more likely in men who have had this condition.

For example, 10 to 15 percent of untreated chlamydia cases will lead to pelvic inflammatory disease (PID). On the contrary to women, in which is the issue can more commonly be detected, most male fertility issues, other than those caused by infections, are unexplained. 8 A high serum FSH level (greater than 30 to 40 mIU per mL [30 to 40 IU per L]) with a low estradiol level can distinguish ovarian failure from hypothalamic pituitary failure, which typically reveals a low or normal FSH level (less than 10 mIU per mL [10 IU per L]) and a low estradiol level.

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Mumps: If this occurs after puberty, inflammation of the testicles may affect sperm production. A couple which is unable to conceive is not the same as a couple which often conceives without difficulties but which then sadly finds that the pregnancy does not go full term.

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Modifiable and non-modifiable risk factors for poor semen quality: a case-referent study. Carcinoma in the Bladder Left Behind. (PDF, 3 MB) The Journal of Urology, 1973. An adequate semen analysis includes the following: Volume (1. These drugs also can also help you get pregnant by causing your ovaries to release multiple eggs. A Physical Map of the Human Y Chromosome. (PDF, 160 KB) Nature, 2001.

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In men who have the necessary reproductive organs to procreate, infertility can be caused by low sperm count due to endocrine problems, drugs, radiation, or infection. High Fertilization and Pregnancy Rate after Intracytoplasmic Sperm Injection with Spermatozoa Obtained from Testicle Biopsy. (PDF, 3 MB) Human Reproduction, 1995. Low testosterone (male hypogonadism) and other hormonal problems have a number of possible underlying causes. Bladder neck closure during ejaculation is vital to ensure antegrade ejaculation. A specimen is collected by masturbation into a clean, dry, sterile container or during coitus using special condoms (containing no spermicidal lubricants). Other testing may be needed based on circumstances, including testicular biopsy, genetic testing, and imaging (Table 36–8,10,19,20). These time intervals would seem to be reversed; this is an area where public policy trumps science. This page covers the possible causes of infertility in men and women. IUI treatment, where the sperm is transferred into the uterus via the cervix, is commonly used in cases of low sperm count or quality. ART procedures, such as GIFT, IVF, and ICSI, also can be used in cases of male infertility.