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Some medications increase the risk of fertility problems in men. Basal body temperatures are no longer considered a reliable indicator of ovulation, and are not recommended for evaluating ovulation.

Reversal of Vasectomy and the Treatment of Male Infertility. (PDF, 4 MB) Urologic Clinics of North America, 1981. These men are at a higher risk for breast cancer, leukemia, diabetes, empty sella syndrome, and pituitary tumors.

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Usually, one incision is placed near the navel and a second near the pubic hairline. Semen that is not initially a coagulum is often an indication of an ejaculatory duct obstruction or the absence of seminal vesicles. Finding out that you're infertile can be an unpleasant surprise, to say the least. “Many men feel emotional stress with a diagnosis of infertility,” says Ross. To verify azoospermia, the semen should be centrifuged and evaluated under a light microscope for the presence of sperm. Steroids used to build muscles can shrink the testes and may lead to decreased sperm production.

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Of azoospermic patients with Klinefelter syndrome, 20% show the presence of residual foci of spermatogenesis. A Physical Map of the Human Y Chromosome. (PDF, 160 KB) Nature, 2001. ART: Intracytoplasmic Sperm Injection (ICSI) (Continued) Once an egg is injected, it is observed for approximately 14 hours to see if fertilization has occurred (average fertilization rate is about 65%), and for 24 hours to ensure that cell division has started.

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The Intra-abdominal Testes: Microvascular Autotransplantation. (PDF, 4 MB) The Journal of Urology, 1981. Other causes include Y chromosome microdeletion, a depletion of chromosome material that impedes or severely decreases spermatozoa production. Idiopathic Hypercalciuria. (PDF, 1 MB) New England Journal of Medicine, 1971. Abnormality in any of those regions may indicate abnormal sperm function and compromise the ability of sperm to fertilize the egg. Ovulation-inducing drugs and ovarian cancer risk: results from an extended follow-up of a large United States infertility cohort. The Leydig cells in the testicles control the LH, and the cells build androgens. Preliminary Tests of a New Reversible Male Contraceptive in Bush Dog, Speothos Venaticus: Open-ended Vasectomy and Microscopic Reversal. (PDF, 106 KB) Journal of Zoo and Wildlife, 2006. Any of the following can cause a man to have a low sperm count or abnormal sperm: Varicocele — an abnormal collection of bulging veins above the testicle; they’re the most common cause of correctable male infertility, accounting for 38% of cases Undescended testicle Infections in the testicle (orchitis), the prostate (prostatitis), or elsewhere in the body that causes a fever Chemotherapy for cancer Medicines such as anabolic steroids or anti-seizure medicines Genetic abnormalities Hormone problems In some cases, these problems can be reversed, but other times they can’t. Genetics of Male Infertility: Evolution of the X and Y Chromosome and Transmission of Male Infertility to Future Generations. (PDF, 10 MB) Chapter 5 from Essential IVF, 2004. Sperm Granuloma and Reversibility of Vasectomy. (PDF, 11 MB) Lancet, 1977. Because sperm generation time is just over two months, it is recommended to wait three months before repeat sampling.