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Recovery of Spermatogenesis after Testicle Autotransplantation in an Adult Male. (PDF, 2 MB) Fertility and Sterility, 1982. The main approach to correcting or removing these uterine abnormalities is by hysteroscopy, a surgical method by which a narrow scope with a camera is placed within the uterine cavity. Abnormalities of sperm may be treated with gonadotropin therapy, intrauterine insemination, or in vitro fertilization. VITRIKAS, MD, David Grant Medical Center Family Medicine Residency, Travis Air Force Base, California Am Fam Physician. 2015 Mar 1;91(5):308-314.   Patient information: See related handout on infertility, written by the authors of this article.   Related letter: Natural Procreative Technology for Treating Infertility This clinical content conforms to AAFP criteria for continuing medical education (CME). A sperm analysis can be done to check a man's sperm count and the overall health of the sperm.Meredith collects data to deliver the best content, services, and personalized digital ads.

Sperm counts can fluctuate, so that several samples may be necessary. After in vitro fertilization, your doctor transfers the fertilized eggs into your uterus.Causes of Infertility A problem in any one of a number of key processes can result in infertility. 17 Evaluation of male infertility starts with a history and physical examination focusing on previous fertility, pelvic or inguinal surgeries, systemic diseases, and exposures.

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Renal Echinococcus. (PDF, 1 MB) The Journal of Urology, 1972. Isodicentric Y Chromosomes and Sex Disorders as Byproducts of Homologous Recombination that Maintains Palindromes. (PDF, 1 MB) Cell, 2009. Genital duct obstruction is a potentially curable cause of infertility and is observed in 7% of infertile patients. The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999.

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There is still some controversy about their existence, but if the discoveries are true, this could mean a new treatment for infertility.[71] Stem cell therapy is really new, and everything is still under investigation. The sperm must provide the zygote with DNA, centrioles, and activation factor for the embryo to develop. Pelvic ultrasonography can be used once a week until the dominant follicle is detected; once this occurs, ultrasonography can be used more frequently until ovulation occurs. A woman who keeps having miscarriages is also considered infertile. Medications, treatments, and drugs Some drugs can affect fertility in a woman. 30–32 Other treatment options include antiestrogens and gonadotropin therapy, which showed a trend toward increased live birth rates in a Cochrane review.

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The Disappearing Y Chromosome – “I Told You So!” (PDF, 266 KB) Human Reproduction, 1997. Myotonic dystrophy This is an autosomal dominant defect in the dystrophin gene that causes a delay in muscle relaxation after contraction. The treating doctor may feel inadequacy and the trust between the doctor and patient breaks down [43]. Primary infertility is when a couple has not conceived after trying for at least 12 months without using birth control Secondary infertility is when they have previously conceived but are no longer able to. Oligozoospermia refers to a low sperm count under 20 million per milliliter. Microsurgical Aspects of Varicocele. (PDF, 9 MB) Fertility and Sterility, 1979. Legal, cultural and religious inquiries have limited the available choices in some countries, such as the use of donor sperms or oocytes. Options for treatment may include: Treatment with antibiotics, in cases of infection Surgical correction, in order to remove a varicocele, reverse a vasectomy, or repair a duct obstruction Medications or fertility drugs to improve sperm production In cases where the above treatments are unsuccessful, or when the cause of male infertility is unknown or untreatable, IUI treatment or IVF treatment may be suggested.