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Role of Semen Analysis in Subfertile Couples. (PDF, 250 KB) Fertility and Sterility, 2010. Hypospadias: The urethral opening is under the penis, instead of its tip. But anything within a few days of that can be considered normal, as long as those cycles are consistent. A review of records from other fertility doctors that you have seen is also important. Hysterosalpingography: Fluid is injected into the woman's uterus and X-rays are taken to determine whether the fluid travels properly out of the uterus and into the fallopian tubes.

Basal body temperatures are no longer considered a reliable indicator of ovulation, and are not recommended for evaluating ovulation. Infertility is more likely in men who have had this condition. The effects of age on fertility are moderate and do not begin to take an effect until the late 30s. In order to conceive, your sperm must be:  Highly concentrated — normally, there should be at least 15 million sperm in every ml of semen5  Moving well (motile) — a lashing tail helps your sperm to swim to your partner’s egg  Normally shaped — healthy sperm should be shaped like a streamlined tadpole  You may find that your semen contains a very low number of sperm (oligozoospermia), or no sperm at all (azoospermia). Infertility and impaired fecundity in the United States, 1982–2010: data from the National Survey of Family Growth.

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Male and female factors can exist in isolation or combination and fertility investigations, diagnoses and treatment should always be considered in the context of the couple.       Male factor Sperm problems will contribute to about 40% of infertility cases. Women in group II include those with polycystic ovary syndrome and hyperprolactinemia.

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After one year of having unprotected sex, about 15 percent of couples are unable to get pregnant. Linthicum, Md.: American Urological Association, Inc.; 2010. Quantitative Analysis of Testicle Biopsy: Determination of Partial Obstruction and Prediction of Sperm Count after Surgery for Obstruction. (PDF, 4 MB) Fertility and Sterility, 1981.

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In another 30% of all cases, the cause is in the male partner. You can find much more information about your privacy choices in our privacy policy. A woman with a suspicion of chronic anovulation most probably due to polycystic ovary (PCO) syndrome, as there is a long history of irregular cycles and clinical presentation with hirsutism, her serum levels of testosterone hormone, sex hormone binding globulin (SHBG), dihydroepiandrostenedione (DHEA), dihydroepiandrostenedione-sulfate (DHEAS) and prolactin should be evaluated to prove the provisional diagnosis and to detect the source of excess androgens. Microscopic Vasectomy Reversal. (PDF, 31 MB) Fertility and Sterility, 1977. Testicular Neoplasm in Father and Son. (PDF, 561 KB) The Journal of Urology, 1972. Testicular Neoplasm in Father and Son. (PDF, 561 KB) The Journal of Urology, 1972. As sperm move from the head to the tail, they mature and acquire fertilization capacity. Sperm counts can fluctuate, so that several samples may be necessary. A hypothalamic-hypophyseal ovarian failure can lead to a reduced GnRH production, which, in turn, leads to an insufficient release of LH and FSH. The use of Epididymal and Testicular Spermatozoa for Intracytoplasmic Sperm Injection: The Genetic Implications for Male Infertility. (PDF, 8 MB) Human Reproduction, 1995. The pregnancy test is then performed 2 weeks after the egg retrieval. The follicles are suctioned and microscopically examined afterward.