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A penile exam should detect atrophy, tumors, epididymal cysts, cryptorchidism (undescended testicles), vas thickening or absence of the vas deferens, hydrocele (fluid accumulation in the testis or along the spermatic cord) or varicocele. Rarely, a blood clot may develop in an artery or vein, liver or kidney problems can arise, and respiratory distress may develop.

Exposure to some chemicals: Some pesticides, herbicides, metals, such as lead, and solvents have been linked to fertility problems in both men and women. There are numerous conditions that can contribute to infertility in men and women. If the woman is aged over 35 years, the couple may wish to see a doctor earlier, because fertility testing can take time, and female fertility starts to drop when a woman is in her 30s.

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5-5 mL, and the WHO lower reference limit (5th percentile) is 1. Povey AC, Clyma JA, McNamee R, et al.; Participating Centres of Chaps-UK. Mixed gonadal dysgenesis (45, X/46, XY) Patients usually have ambiguous genitalia, a testis on one side, and a streaked gonad on the other.

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Microsurgery for Vasectomy Reversal and Vasoepididymostomy. (PDF, 13 MB) Urology, 1984. Clinical diagnostic testing for the cytogenetic and molecular causes of male infertility: the Mayo Clinic experience. 7 million women reported impaired ability to get pregnant or carry a baby to term.

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Prolactin stimulates milk production during breastfeeding. Secondary spermatocytes contain smaller nuclei with fine chromatin. Sometimes, female infertility is related to a hormone problem. 18  If the semen analysis result is abnormal, further evaluation is indicated (Table 36–8,10,19,20). Ultrasound: This may reveal issues such as ejaculatory duct obstruction or retrograde ejaculation.