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Patients with azoospermia or severe oligospermia are more likely to have a chromosomal abnormality (10-15%) than infertile men with sperm density within the reference range (1%). The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. If the sperm do not have the right shape, or they cannot travel rapidly and accurately towards the egg, conception may be difficult. ED may be the consequence of the conversion of androgens to estradiol.

Fertility Evaluation of the Male Partner: Other Tests Other tests for men include: Urine analysis to rule out an infection. Government, the Department of Defense, or the Department of the Air Force. 3,4  Infertility may arise from male factors, female factors, or a combination of these (Table 15–8). Illegal drugs: Consumption of marijuana and cocaine can lower the sperm count. Debate: Are Spermatid Injections of any Clinical Value? (PDF, 6 MB) Human Reproduction, 1998.

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Patients with adrenal hyperplasia and other disorders must be treated with prednisone. Allocation of medical resources that could be used elsewhere The legal status of embryos fertilized in vitro and not transferred in vivo. (See also beginning of pregnancy controversy). An Azoospermic Man with a do novo Point Mutation in the Y-chromosome Gene USP9Y. (PDF, 381 KB) Nature Genetics, 1999. In such cases, OPKs and those fertility monitors which are based on LH may show false results, with an increased number of false positives or false negatives. Online support from organizations such as Resolve can be helpful.

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Sertoli cells are columnar, with irregular basal nuclei that have prominent nucleoli and fine chromatin. The Male-specific Region of the Human Y Chromsome is a Mosaic of Discrete Sequence Classes. (PDF, 754 KB) Nature, 2003. Many uterine and tubal abnormalities detected by the HSG can be surgically corrected. A needle biopsy of the testicle can show whether a man is making healthy sperm.

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Gonadotropin-releasing hormone Synthetic GnRH (gonadorelin) has a chemical composition similar to native GnRH and is indicated for patients with hypothalamic dysfunction, especially those who do not respond to CC. [200, 201] Although quite effective, it is not available in the United States due to lack of use and low demand. Dealing with Fertility Problems After Vasectomy Reversal. (PDF, 7 MB) Contemporary OB/GYN, 1978. Testicular neoplasia, commonly producing estrogen, usually causes infertility. To examine the sperm motility in the cervical mucus, the postcoital test is made. Patients who do not achieve ovulation after three to six cycles should be referred to an infertility specialist for further treatment. 8–16 One retrospective case-control study of 650 men with infertility and 698 control participants questioned the role of environmental risk; no association could be determined after assessing for multiple factors including shift work, stress, and pesticides. It works in the following way: Clomiphene is an anti-estrogen. The ovulation induction agents used include clomiphene citrate, hMG, hCG, recombinant FSH, and recombinant LH. Close Diagnosing Sterility If you and your partner have been trying for more than a year to become pregnant, or both of you are over thirty and battling, it is good idea consult your gynecologist, obstetrician or urologist for further investigation.