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To verify azoospermia, the semen should be centrifuged and evaluated under a light microscope for the presence of sperm. Abnormal sperm: The sperm may have an unusual shape, making it harder to move and fertilize an egg. Especially in men, psychological explanations should be considered as they are frequently the cause of sexual dysfunctions.

Fertilizing Capacity of Epididymal and Testicular Sperm using Intracytoplasmic Sperm Injection (ICSI). (PDF, 7 MB)Reproduction, Fertility and Development, 1995. You take gonadotropins that trigger the development of more than one egg. Sertoli Cell only Revisited. (PDF, 1 MB) Human Reproduction, 1995.

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Existing definitions of infertility lack uniformity, rendering comparisons in prevalence between countries or over time problematic. Pregnancy after Vasovasostomy for Vasectomy Reversal: A Study of Factors Followed for 10 Years. (PDF, 3 MB)Human Reproduction, 1989. Surgical Management of Male Infertility. (PDF, 2 MB) Chapter 12 from textbook, Male Infertility, 1992. In cases of poor sperm quality, intrauterine insemination can be performed.

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Most of infertile couples are aware of what can be offered to them from the media. Medications Testosterone replacement therapy, long-term anabolic steroid use, cancer medications (chemotherapy), certain antifungal medications, some ulcer drugs and certain other medications can impair sperm production and decrease male fertility. The dynamics of stress in fertile and infertile couples. 29 When the semen analysis is abnormal, referral to a male fertility specialist or reproductive endocrinologist is warranted.

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A Modern Approach to Male Infertility. (PDF, 2 MB) Serono Symposia, Insights Into Infertility Newsletter, 1997. Whether it should be corrected in cases of primary infertility is controversial. Alternatively, cabergoline can be used orally or vaginally weekly at a starting dose of 0. Veltman-Verhulst SM, Cohlen BJ, Hughes E, Heineman MJ. About 85 percent of male-female couples will be able to get pregnant within 12 months of trying. Basic Work-up for Infertility It is very important to remember that infertility can occur as a result of one or more male or female factors. Adolescents with a varicocele and testicular atrophy or lack of growth should similarly consider repair. Hypothyroid bitches might not cycle or have increased abortion rates, or neonatal survival may be poor. Abnormal semen may not be able to carry the sperm effectively. For example, high cortisol levels are seen in patients with Cushing syndrome, which causes negative feedback on the pituitary to decrease LH release.