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17 Evaluation of male infertility starts with a history and physical examination focusing on previous fertility, pelvic or inguinal surgeries, systemic diseases, and exposures. Varicocele The veins in a man’s scrotum (sac) can become too large. The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999. Vascular injuries can result in hemorrhage that may be life-threatening. Patients who do not ovulate because of a fault in the pituitary gland may receive this drug as an injection.

Of particular relevance amongst diseases affecting the testes are testicular infection or orchitis. Generally, their response to hMG ovulation induction is too brisk or delayed, and predicting whether the patient will respond easily is not possible. It must be kept in mind that a woman is no longer fertile around six years prior to the menopause.

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44 Therefore, a simple recommendation is for vaginal intercourse every two to three days to optimize the chance of pregnancy. Medications Testosterone replacement therapy, long-term anabolic steroid use, cancer medications (chemotherapy), certain antifungal medications, some ulcer drugs and certain other medications can impair sperm production and decrease male fertility. Factors Affecting Fertility: Timing of Intercourse Intercourse prior to ovulation is key to maximizing the chance of pregnancy. Microsurgery of the Male Genitalia for Infertility. (PDF, 8 MB) Chapter 59 from Reconstructive Urologic Surgery, 1994. Production of the First Offspring from Oocytes Derived from Fresh and Cryopreserved Pre-antral Follicles of Adult Mice. (PDF, 2 MB) Reproductive BioMedicine Online, 2007. When the magic moment arrives, about 150 million sperm are ejaculated in a half-teaspoon of semen through the penis.

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Laparoscopic surgery includes operations within the abdominal or pelvic cavities, whereas keyhole surgery performed on the thoracic or chest cavity is called thoracoscopic surgery. The elevation in the temperature is indicative of ovulation. The doctor may ask about the couple's sexual habits and make recommendations regarding these.

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Here, the hormones FSH (= follicle stimulating hormone) and LH (= luteinizing hormone) play an important role. The rest of the time, it is because of both partners or no cause can be found. The sperm moves up the cervix, towards the uterus, and into the fallopian tubes to reach and fertilize the egg. Non-steroidal anti-inflammatory drugs (NSAIDs): Long-term use of aspirin or ibuprofen may make it harder to conceive. Signs of Potential Infertility in Men Infertility symptoms in men can be vague. Usually, one incision is placed near the navel and a second near the pubic hairline.