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The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999. Epididymal and Testicular Spermatozoa and Intracytoplasmic Sperm Injection. (PDF, 7 MB) Assisted Reproduction Reviews, 1996. Radiation therapy: If this is aimed near the reproductive organs, it can increase the risk of fertility problems. Exposure to some chemicals: Some pesticides, herbicides, metals, such as lead, and solvents have been linked to fertility problems in both men and women. Diagnosis and Management of Hypogonadism, Infertility, and Impotence. (PDF, 13 MB) Chapter 22 of textbook,Male Reproductive Dysfunction, 1986.

This diagnosis is therefore shared by 15% of couples attempting to conceive. What Forms of Male Infertility are there left to Cure? (PDF, 2 MB) Human Reproduction, 1995. If a woman has an ovulation disorder, she may ovulate infrequently or not all. A low testosterone level with a low FSH level signals a secondary cause.

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Renal Echinococcus. (PDF, 1 MB) The Journal of Urology, 1972. This should be followed by documentation of ovulation via serum progesterone.

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Poor egg quality: Eggs that are damaged or develop genetic abnormalities cannot sustain a pregnancy. The menopause is premature when it occurs before 40 years of age.

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Illegal drugs: Some women who use marijuana or cocaine may have fertility problems. The emotional toll on both partners can affect their relationship. Erectile dysfunction or premature ejaculation: Medication, behavioral approaches, or both may help improve fertility. Review Questions The answers can be found below the references.