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A variety of disorders ranging from hormonal disturbances to physical problems, to psychological problems can cause male infertility.  Although many treatment options are now available, in many cases treatment will not work.  In many instances, male infertility is caused by testicular damage resulting in an inability of the testicle to produce sperm.  Once damaged, the testicle will not usually regain its sperm-making capabilities; this aspect of male infertility is analogous to menopause (though not natural like menopause) for women and cannot usually be treated.  Despite medicine�s limited ability to treat male infertility, many successful treatment options are available for its many causes.  Besides testicular damage, the main causes of male infertility are low sperm production and poor sperm quality.   The Causes of Male Infertility Male infertility has many causes--from hormonal imbalances, to physical problems, to psychological and/or behavioral problems.  Moreover, fertility reflects a man�s �overall� health.  Men who live a healthy lifestyle are more likely to produce healthy sperm.  The following list highlights some lifestyle choices that negatively impact male fertility--it is not all-inclusive: · Smoking--significantly decreases both sperm count and sperm cell motility. · Prolonged use of marijuana and other recreational drugs. · Chronic alcohol abuse. · Anabolic steroid use--causes testicular shrinkage and infertility. · Overly intense exercise--produces high levels of adrenal steroid hormones which cause a    testosterone deficiency resulting in infertility. · Inadequate vitamin C and Zinc in the diet. · Tight underwear--increases scrotal temperature which results in decreased sperm production. · Exposure to environmental hazards and toxins such as pesticides, lead, paint, radiation, radioactive   substances, mercury,  benzene, boron, and heavy metals · Malnutrition and anemia. · Excessive stress! A Physical Map of the Human Y Chromosome. (PDF, 160 KB) Nature, 2001. Cholesterol One study has found that high cholesterol levels may have an impact on fertility in women. These may be purchased over the counter and allow couples to predict the most fertile days in the cycle. We welcomed a sweet baby girl into the world in June this year!Background Infertility is a common clinical problem. This difference is not merely conceptual since the studies carried out in order to understand the causes and the treatment given in both cases are totally different.

Testosterone and multiple hormones made in the brain control sperm production. They are usually young patients with a history of polycystic ovarian syndrome or oligo-ovulation who responded with elevated E2 levels (3000 pc/mL) and multiple follicles (>15) and patients in whom the ovulation has been triggered by the administration of exogenous hCG. [196, 197] Ovarian hyperstimulation syndrome usually has 2 phases. Successful Pregnancy after Microsurgical Transplantation of an Intact Ovary. (PDF, 438 KB) The New England Journal of Medicine, 2008. RE: The Impalpable Testis: A Rational Approach to Management. (PDF, 389 KB) The Journal of Urology, 1979. Many uterine and tubal abnormalities detected by the HSG can be surgically corrected.

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Thyroid problems: An overactive or underactive thyroid gland can lead to a hormonal imbalance. The embryos are placed within the tip of the transfer catheter and then injected within the uterine cavity once the catheter is placed through the cervical canal to the ideal spot within the uterus. Management of ejaculatory failure: - Can be of great value as in retrograde ejaculation. Additional risk factors may include smoking, alcohol use, obesity, and older age; however, the data are hampered by a lack of pregnancy-related outcomes. Semm established several standard procedures that were regularly performed, such as ovarian cyst enucleation, myomectomy, treatment of ectopic pregnancy and finally laparoscopic-assisted vaginal hysterectomy (nowadays termed as cervical intra-fascial Semm hysterectomy).

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Abnormalities of sperm may be treated with gonadotropin therapy, intrauterine insemination, or in vitro fertilization. Male infertility: New treatments, more pregnancies The ultimate goal of male infertility treatment is to create a pregnancy. Legal, cultural and religious inquiries have limited the available choices in some countries, such as the use of donor sperms or oocytes. In recent years, electronic tools have been developed to aid surgeons.

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Most recommend dosing CC on cycle days 3-7 to improve response and ovulation around cycle day 14. Careful monitoring during treatment and pregnancy can help reduce the risk of complications. Bromocriptine (Parlodel): This drug inhibits prolactin production. Fertility Evaluation: General and Sexual History A detailed history includes: General history  This includes occupation and background, use of tobacco, alcohol and drugs, earlier diseases, history of abdominal surgery and earlier infections. In some couples who have been unable to reproduce, tests fail to find the cause of infertility. Article Sections Infertility is defined as the inability to achieve pregnancy after one year of regular, unprotected intercourse. Compensatory and Obligatory Renal Growth in Rats. (PDF, 1 MB) American Journal of Physiology, 1974. The seminal vesicles provide 40-80% of the semen volume, which includes fructose for sperm nutrition, prostaglandins and other coagulating substances, and bicarbonate to buffer the acidic vaginal vault. 8) Unexplained/other: Sometimes a full evaluation does not reveal the cause of infertility. On the contrary to women, in which is the issue can more commonly be detected, most male fertility issues, other than those caused by infections, are unexplained. Symptoms If a couple doesn't get pregnant after a year of unprotected intercourse, both the man and woman should be evaluated. In contrast, anovulation usually manifests itself as irregularity of menstrual periods, that is, unpredictable variability of intervals, duration, or bleeding. IVF in action Intracytoplasmic sperm injection (ICSI): A single sperm is injected into an egg to achieve fertilization during an IVF procedure. For example, endometriosis can cause infertility with the growth of endometrial tissue in the Fallopian tubes or around the ovaries. Pregnancy after Vasovasostomy for Vasectomy Reversal: A Study of Factors Followed for 10 Years. (PDF, 3 MB)Human Reproduction, 1989.