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The potentials of these systems enhance the possibilities of the mobile medical care with those lightweight assistance systems. Abnormalities of sperm may be treated with gonadotropin therapy, intrauterine insemination, or in vitro fertilization. Semen that is not initially a coagulum is often an indication of an ejaculatory duct obstruction or the absence of seminal vesicles. Opinion: Microsurgical TESE and the Distribution of Spermatogenesis in Non-obstructive Azoospermia. (PDF, 5 MB)Human Reproduction, 2000. It does not include procedures in which only sperm are manipulated, such as intrauterine insemination, or procedures in which a woman takes drugs only to stimulate egg production, without the intention of having eggs retrieved. However, hormones are not the main problem in 97% of infertile men.

Basal body temperatures are no longer considered a reliable indicator of ovulation, and are not recommended for evaluating ovulation. Histologically, Leydig cells are polygonal with eosinophilic cytoplasm. Overheated testicles: Causes include an undescended testicle, a varicocele, or varicose vein in the scrotum, the use of saunas or hot tubs, wearing tight clothes, and working in hot environments. This mucus mainly affects the lungs, but males may also have a missing or obstructed vas deferens.

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Changes in sexual desire A man’s fertility is also linked with his hormone health. The rising number of obese individuals may be due in part to an energy-rich diet as well as insufficient physical exercise.  In addition to other potential health risks, obesity can have a significant impact on male and female fertility. Fertility: assessment and treatment for people with fertility problems.

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Society and culture[edit] Perhaps except for infertility in science fiction, films and other fiction depicting emotional struggles of assisted reproductive technology have had an upswing first in the latter part of the 2000s decade, although the techniques have been available for decades.[76] Yet, the number of people that can relate to it by personal experience in one way or another is ever growing, and the variety of trials and struggles is huge.[76] Pixar's Up contains a depiction of infertility in an extended life montage that lasts the first few minutes of the film.[77] Other individual examples are referred to individual subarticles of assisted reproductive technology Ethics[edit] There are several ethical issues associated with infertility and its treatment. He also developed a medical instrument company Wisap in Munich, Germany, which still produces various endoscopic instruments of high quality. Microsurgical Solutions to Male Infertility. (PDF, 2 MB) Contemporary OB/GYN, 2005. Tumors Cancers and nonmalignant tumors can affect the male reproductive organs directly, through the glands that release hormones related to reproduction, such as the pituitary gland, or through unknown causes. Stem cell therapy[edit] Nowadays, there are several treatments (still in experimentation) related with stem cell therapy.

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Ovulation problems can be a result of:  polycystic ovary syndrome (PCOS) thyroid problems – both an overactive thyroid gland and an underactive thyroid gland can prevent ovulation premature ovarian failure – where a woman's ovaries stop working before the age of 40 Scarring from surgery Pelvic surgery can damage and scar the fallopian tubes, which link the ovaries to the womb. 0.[44] Environmental factors Toxins such as glues, volatile organic solvents or silicones, physical agents, chemical dusts, and pesticides.[45][46] Tobacco smokers are 60% more likely to be infertile than non-smokers.[47] German scientists have reported that a virus called adeno-associated virus might have a role in male infertility,[48] though it is otherwise not harmful.[49] Other diseases such as chlamydia, and gonorrhea can also cause infertility, due to internal scarring (fallopian tube obstruction).[50][51][52] Alimentary habits[53] Obesity: The obesity epidemic has recently become is a serious issue, particularly in industrialized nations. Factors contributing to the formation of antisperm antibodies in women are disturbance of normal immunoregulatory mechanisms, infection, violation of the integrity of the mucous membranes, rape and unprotected oral or anal sex. Article Sections Infertility is defined as the inability to achieve pregnancy after one year of regular, unprotected intercourse. Assessment of efficacy of varicocele repair for male subfertility: a systematic review. Surgery or embolization for varicoceles in subfertile men. Unexplained infertility is not the same thing as having no explanation, but rather reflects the fact that the tests performed have been normal. The agents most often associated with infertility are the alkylating agents such as cyclophosphamide. Some methods may be used in concert with other methods. Laurence-Moon-Biedl syndrome Patients with this syndrome have retinitis pigmentosa and polydactyly. In 1978, the first baby was born as a result of IVF.