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In men, cigarette smoking and alcohol use may cause poor sperm quality, and marijuana use can also be implicated in lower sperm motility and count. Surgical treatment of myomas is indicated in cases of abnormal uterine bleeding, when the myoma is implicated in recurrent miscarriages or when it is thought to interfere with embryo implantation.

Infertility in Men Below you will find a list of some of the most common causes of infertility in men. Then, generally one or two embryos, which have demonstrated appropriate development, are carefully and gently transferred into the uterine cavity.

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If the sperm are of good quality and the mechanics of the woman's reproductive structures are good (patent fallopian tubes, no adhesions or scarring), a course of ovulation induction maybe used. There is more controversy regarding intramural fibroids, where larger ones may have an impact and may necessitate removal. The ICSI process takes place following a cycle during which fertility drugs are administered to the female partner to aid in the production of multiple eggs. Perfect Anatomical Reconstruction of Vas Deferens with a new Microscopic Surgical Technique. (PDF, 19 MB)Fertility and Sterility, 1977. Other causes of ovulation disorders include ovarian insufficiency and hypothalamic amenorrhea.

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Semen and sperm Sometimes the sperm cannot travel effectively to meet the egg. If conception does not occur after many months or years of trying, it can lead to stress and possibly depression. The prostate also secretes zinc, phospholipids, phosphatase, and spermine.

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A prolactin level of more than 150 mcg/L suggests a pituitary adenoma, while levels greater than 300 mcg/L are nearly diagnostic. Women in group II include those with polycystic ovary syndrome and hyperprolactinemia. 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. These problems with sperm can cause male infertility. Symptoms depend on what is causing the infertility. The main reasons for fertility tourism are legal regulation of the sought procedure in the home country, or lower price. The progestins that can be used and the doses are as follows: Medroxyprogesterone acetate (eg, Depo-SubQ Provera 104; administer 104 mg SC q3mo or q12-14wk) Megestrol acetate (eg, Megace 20-40 mg PO qd for up to 2 months) Norethindrone acetate (eg, Aygestin 15 mg PO qd for 6-9 months) [145, 146, 147, 148, 149, 150] The androgens used are 17-ethinyl testosterone derivatives (eg, danazol 400-800 mg PO divided BID; not to exceed 9 months) [151, 152, 153] The GnRH agonists used are as follows: Leuprolide acetate (eg, Lupron 3.


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