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Physical examination reveals gynecomastia, small testis, and eunuchoid body habitus due to delayed puberty. A routine part of the initial evaluation is testing of specific serum hormone levels, which usually includes FSH, LH, testosterone, and prolactin. Infertility in men Semen and sperm The most common cause of infertility in men is poor-quality semen, the fluid containing sperm that's ejaculated during sex. Some couples experience pressure from society, parents and family, who expect that they wish to have children. Metabolic causes of infertility, other than in severely ill individuals, are rare. Thus it is essential to evaluate both the man and the woman.

8 Involvement in group counseling and exercise is more effective than weight loss advice alone. Some medications increase the risk of fertility problems in men. Blockage of the ejaculatory duct: Sperm can be extracted directly from the testicles and injected into an egg in the laboratory. Mental stress: This may affect female ovulation and male sperm production and can lead to reduced sexual activity. A complete pelvic exam should reveal any uterine hypoplasia, fibroids, adnexal tumors or cervical lesions and should indicate whether dyspareunia may be a problem. Other infectious diseases that may affect fertility include tuberculosis, toxoplasmosis, malaria, schistosomiasis and leprosy.

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Prozac and other SSRIs, Propecia).  Luckily, many treatment options exist for ED depending on the cause--these will be discussed in the treatment section. In these methods, fertilization occurs inside the body.

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Apparent Fertility of Human Spermatozoa from the Caput Epididymidis. (PDF, 4 MB) Journal of Andrology, 1989. Only an additional 7% of couples will conceive in the second year. 4 IU per L]) can help differentiate between primary and secondary disorders. Problems in the uterus or fallopian tubes can prevent the egg from traveling from the ovary to the uterus, or womb. Many couples with infertility issues go on to have successful pregnancies.

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About 10% of reproductive age women are affected by endometriosis. Surgery or embolization for varicoceles in subfertile men. Ideally, using strict morphology criteria, a minimum of 5 – 15% normal forms leads to a better ability for sperm to fertilize the egg. Diet: A lack of folic acid, iron, zinc, and vitamin B-12 can affect fertility. Pregnancies after Testicular Sperm Extraction and Intracytoplasmic Sperm Injection in Non-obstructive Azoospermia. (PDF, 3 MB) Human Reproduction, 1995. Because sperm generation time is just over two months, it is recommended to wait three months before repeat sampling. Thankfully, even when the cause of infertility is not known, various fertility treatments can eventually lead to delivery of a healthy baby. As part of the fertility evaluation, we will perform an HSG, a test designed to evaluate if the fallopian tubes are open.