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Luciano AA, Peluso J, Koch EI, Maier D, Kuslis S, Davison E. 18  If the semen analysis result is abnormal, further evaluation is indicated (Table 36–8,10,19,20). Some respond by actively avoiding the issue altogether; middle-class men are the most likely to respond in this way.[21] In the United States some treatments for infertility, including diagnostic tests, surgery and therapy for depression, can qualify one for Family and Medical Leave Act leave. Many health conditions can make it hard to get pregnant. Search dates: January 6, 2014; January 28, 2014; February 5, 2014; and November 18, 2014.

Algorithm for infertility evaluation. (ART = assisted reproductive technology.) Lifestyle Factors Jump to section + All couples should be counseled to abstain from tobacco use, limit alcohol consumption, and aim for a body mass index less than 30 kg per m2 to improve their chances of natural conception or using assisted reproductive technology. It's sometimes done while you're taking meds that help trigger the release of an egg. Women receiving fertility treatment have a slightly higher risk of an ectopic pregnancy. A decreased testosterone level with an increased FSH level points to primary hypogonadism.

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The doctor may ask about the couple's sexual habits and make recommendations regarding these. An extensive work-up showed Steve was born without the vas deferens, the main sperm pipelines from the testicles. One of the best known is the HFEA – The UK's regulator for fertility treatment and embryo research. Microscopic Vasoepididymostomy: Specific Microanastomosis to the Epididymal Tubule. (PDF, 15 MB) Fertility and Sterility, 1978.

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Causes of Male Infertility Male infertility may be a result of some conditions that affect the quality of sperm, lead to low sperm production (oligospermia), or lead to the absence of sperm production (azoospermia). Surgical sperm aspiration: The sperm is removed from part of the male reproductive tract, such as the vas deferens, testicle, or epididymis. The abdomen is usually insufflated with carbon dioxide gas. Uterine fibroids Fibroids are noncancerous growths in the uterus. The vas deferens carries sperm from the epididymis to the ejaculatory duct and the urethra.

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Although relatively uncommon, eating disorders can negatively affect menstruation, fertility, and maternal and fetal well-being. Records of one of the primary fertility awareness signs—basal body temperature—can detect ovulation by identifying the shift in temperature which takes place after ovulation. The sperm is washed in a fluid and the best specimens are selected. A Modern Approach to Male Infertility. (PDF, 2 MB) Serono Symposia, Insights Into Infertility Newsletter, 1997. There is a consistent association of Mycoplasma genitalium infection and female reproductive tract syndromes.