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Some men respond with an increase in testosterone levels; many also recover normal sperm counts. Testis Biopsy and the Infertile Male. (PDF, 20 MB) Chapter 15 from textbook Office Andrology, 2005. Mental stress: This may affect female ovulation and male sperm production and can lead to reduced sexual activity. In other cases, the cause is suspected to be immunological or genetic; it may be that each partner is independently fertile but the couple cannot conceive together without assistance. In closed social groups, a degree of rejection (or a sense of being rejected by the couple) may cause considerable anxiety and disappointment.

Existing definitions of infertility lack uniformity, rendering comparisons in prevalence between countries or over time problematic. A small incision is made in the abdomen, and a thin, flexible microscope with a light at the end, called a laparoscope, is inserted through it.

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These microdeletions are not observed on regular karyotype testing; rather, their identification requires polymerase chain reaction (PCR)–based sequence-tagged site mapping or Southern blot analysis. Sexually transmitted infections (STIs): Chlamydia can damage the fallopian tubes in a woman and cause inflammation in a man's scrotum.

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Optimizing natural fertility: a committee opinion. Choice of infertility treatment often related to issues of efficacy, cost, ease of use or administration, and its side effects. Other considerations include preconception screening and vaccination for preventable diseases such as rubella and varicella, sexually transmitted infections, and cervical cancer, based on appropriate guidelines and risk. Broekmans FJ, Kwee J, Hendriks DJ, Mol BW, Lambalk CB.

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The Relationship of Abnormal Semen Values to Pregnancy Outcome. (PDF, 770 KB) Chapter 10 from textbook, 1992. Anti-Müllerian hormone of less than or equal to 5. Sperm are nourished by semen, which is made by glands along the way. Testing may begin with a physical exam and questions about past medical problems.