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6 Accuracy may be improved by use on midday or evening urine specimens, which correlate better with the peak in serum luteinizing hormone levels. If you’re concerned, it’s important to consult with your doctor. Possible reasons for abnormal semen include: a lack of sperm – you may have a very low sperm count or no sperm at all sperm that aren't moving properly – this will make it harder for sperm to swim to the egg abnormal sperm – sperm can sometimes be an abnormal shape, making it harder for them to move and fertilise an egg Many cases of abnormal semen are unexplained.

Furthermore, if there is a background of gynaecological or andrological issues in the couple, a study should be carried out as soon as possible. Diverse Spermatogenic Defects in Humans Caused by Y Chromosome Deletions Encompassing a Novel RNA-binding Protein Gene. (PDF, 7 MB) Nature Genetics, 1995. Treatment of Hemorrhage from Renal Trauma by Angiographic Injection of Clot. (PDF, 1 MB) The Journal of Urology, 1978. World Health Organization reference values for human semen characteristics.

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Evaluation of cervical mucus is unreliable; therefore, investigation is not helpful with the management of infertility. The use of Epididymal and Testicular Spermatozoa for Intracytoplasmic Sperm Injection: The Genetic Implications for Male Infertility. (PDF, 8 MB) Human Reproduction, 1995. Microscopic Vasectomy Reversal 30 Years Later: A Summary of 4010 Cases by the Same Surgeon. (PDF, 295 KB)Journal of Andrology, 2004.

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The hypophysis is blocked and insensitive to the body’s own GnRH. Pregnancy Caused by Sperm from Vasa Efferentia. (PDF, 1 MB) Fertility and Sterility, 1988.

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The sperm must provide the zygote with DNA, centrioles, and activation factor for the embryo to develop. Treatment of Anovulatory Conditions Jump to section + Women with WHO group I ovulatory disorders should be counseled to achieve a normal body weight. They can often recommend a counselor and others who can offer appropriate support. The etiology is unknown but is probably multifactorial. If the E2 and FSH levels are in the normal range, clomiphene citrate is the drug of choice, as previously described. If this is unsuccessful, the decision which form of artificial insemination is going to be used is made individually. In some cases, the reproductive urologist can improve semen function by recommending certain lifestyle changes, by hormonal treatments, or by surgery. Nevertheless, scientists have found these stem cells, which may generate new oocites in postnatal conditions. At this point, psychological consultation and support should be provided [44]. 7) Endometriosis: Endometriosis is a condition whereby cells very similar to the ones lining the uterine cavity, or endometrium, are found outside the uterine cavity. Radiation therapy While Leydig cells are relatively radioresistant because of their low rate of cell division, the Sertoli and germ cells are extremely radiosensitive. Genetic tests can identify specific obstacles to fertility and problems with sperm. Leydig cell function is impaired, and most patients are infertile due to primary testicular failure.