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Sulfasalazine: This anti-inflammatory drug can significantly lower a man's sperm count. Some methods may be used in concert with other methods. Cervical surgery can also sometimes cause scarring or shorten the neck of the womb (the cervix). Tumors Cancers and nonmalignant tumors can affect the male reproductive organs directly, through the glands that release hormones related to reproduction, such as the pituitary gland, or through unknown causes.

Submucosal fibroids: Benign or non-cancerous tumors occur in the muscular wall of the uterus. If the epididymis is blocked, sperm may not be ejaculated properly. Semen and sperm Sometimes the sperm cannot travel effectively to meet the egg. Congenital Absence of the Vas Deferens: The Fertilizing Capacity of Human Epididymal Sperm. (PDF, 3 MB) New England Journal of Medicine, 1990. Microscopic Vasectomy Reversal 30 Years Later: A Summary of 4010 Cases by the Same Surgeon. (PDF, 295 KB)Journal of Andrology, 2004. Bushnik T, Cook JL, Yuzpe AA, Tough S, Collins J.

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Infertility rates have increased by 4% since the 1980s, mostly from problems with fecundity due to an increase in age.[72] Fertility problems affect one in seven couples in the UK. 6 The initial history should cover menstrual history, timing and frequency of intercourse, previous use of contraception, previous pregnancies and outcomes, pelvic infections, medication use, occupational exposures, substance abuse, alcohol intake, tobacco use, and previous surgery on reproductive organs.

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If this is unsuccessful, the decision which form of artificial insemination is going to be used is made individually. 3) Tubal occlusion (blockage): As discussed previously, a history of sexually transmitted infections including chlamydia, gonorrhea, or pelvic inflammatory disease can predispose a woman to having blocked fallopian tubes. 5-5 mL, and the WHO lower reference limit (5th percentile) is 1.

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Hofherr SE, Wiktor AE, Kipp BR, Dawson DB, Van Dyke DL. This can help a man who cannot ejaculate normally, for example, because of a spinal cord injury. Are Sequence Family Variants Useful for Identifying Deletions in the Human Y Chromosome? (PDF, 377 KB) The American Journal of Human Genetics, 2004. Hystersalpingography (HSG): - usually after failed successive cycles of ovulation induction, and in some centres after failed IUI. - good predictive but requires expertise. Estrous cycle abnormalities can cause infertility.