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A smaller amount may suggest a structural or hormonal problem leading to deficient semen production; 2) sperm concentration – normal concentration should be at least 20 million sperm per 1 ml of semen. Source : Preserving your fertility - University of Kansas Hospital PPT Presentation Summary : Preserving your fertility.

Other factors that can affect a woman's chances of conceiving include being overweight or underweight,[56] or her age as female fertility declines after the age of 30.[57] Sometimes it can be a combination of factors, and sometimes a clear cause is never established. 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. Retrograde Ejaculation: Is a condition in which semen is ejaculated into the bladder rather than out through the urethra because the bladder sphincter does not close during ejaculation.  If this disorder is present, ejaculate volume is small and urine may be cloudy after ejaculation.  This condition affects 1. Treatment of Male-factor Infertility. (PDF, 10 MB) Chapter 9 from Progress in Infertility, 1993. Temperature charting is a useful way of providing early clues about anovulation, and can help gynaecologists in their diagnosis.

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Gonadotropins are available in the form of human menopausal gonadotropin (HMG) derived from the urine of postmenopausal women. The patients often suffer from appearances of virilization and manlike hair patterns. The eggs may never be released or they may only be released in some cycles. Obesity and increased risk for oligozoospermia and azoospermia. Adhesions with the surrounding tissue can develop as well, and reduce the motility of the tubes. Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatment.

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Most surgical treatment for endometriosis is currently performed through operative laparoscopy. [145, 146, 147] Laparotomy has been relegated to the treatment of severe disease or if a need for hysterectomy arises. [145] Medical treatment Medical treatment is directed toward suppressing estrogen production by the ovary. Some causes, such as hyperprolactinemia, are reversible with proper treatment. This results in negative feedback stimulation of the hypothalamic-pituitary axis, causing an increase release of gonadotropins and testosterone.

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If the response is exaggerated, with more than 5 sizable follicles (18 mm in diameter), and the E2 level is greater than 2500 pc/mL, cancelling the ovulation is better to avoid the risk of ovarian hyperstimulation syndrome and a high order of multiple pregnancy. Physical damage to the ovaries, or ovaries with multiple cysts, may affect their ability to function. 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. The woman may be given a low dose of ovary stimulating hormones. Experts differ as to when genetic tests should be done. Placenta Percreta Invading Bladder. (PDF, 2 MB) The Journal of Urology, 1973. It usually involves treatment implication counselling, emotional support counselling, and therapeutic counselling [38,39]. Broekmans FJ, Kwee J, Hendriks DJ, Mol BW, Lambalk CB. The extra heat caused by the vein can lead to low sperm count and impaired sperm movement.