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Men who are underweight tend to have lower sperm concentrations than those who are at a normal BMI. Perspectives on infertility consultations in primary care: a qualitative study. There is still some controversy about their existence, but if the discoveries are true, this could mean a new treatment for infertility.[71] Stem cell therapy is really new, and everything is still under investigation. Causes of male infertility include Physical problems with the testicles Blockages in the ducts that carry sperm Hormone problems A history of high fevers or mumps Genetic disorders Lifestyle or environmental factors About a third of the time, infertility is because of a problem with the man.

The patient should be abstinent for 2-3 days prior to maximize sperm number and quality. Men who are underweight tend to have lower sperm concentrations than those who are at a normal BMI. The enzyme aromatase is responsible for this conversion, and is found primarily in adipose tissue. Semen analysis: A sample may be taken to test for sperm concentration, motility, color, quality, any infections, and whether any blood is present. Further reading[edit] Fertility: Assessment and Treatment for People with Fertility Problems.

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In this case synthetic FSH by injection or Clomid (Clomiphene citrate) via a pill can be given to stimulate follicles to mature in the ovaries. Other causes may include: Genetic factors: A man should have an X and Y chromosome.

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IVF and related techniques (ICSI, ZIFT, GIFT) are called assisted reproductive technology (ART) techniques. Less than 50% motility may significantly affect the ability for sperm to fertilize the egg without therapy; and (4) morphology, or shape – there are three parts of the sperm that are analyzed for morphology: the head, midpeice, and tail. The Intra-abdominal Testes: Microvascular Autotransplantation. (PDF, 4 MB) The Journal of Urology, 1981. Clomiphene citrate for unexplained subfertility in women. Postcoital testing and antisperm antibody testing are no longer considered useful in this evaluation.

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Vasectomy Reversal. (PDF, 733 KB) The New England Journal of Medicine, 1977. Medical manipulation with prostaglandins is usually unrewarding, and ovariectomy with histopathology is indicated. Clinical Characterization of 42 Oligospermic or Azoospermic Men with Microdeletion of the AZFc Region of the Y Chromosome, and of 18 Children Conceived via ICSI. (PDF, 606 KB) Human Reproduction, 2002. The most commonly prescribed pill to stimulate ovulation (generally of one mature egg) is clomiphene citrate. Bromocriptine (Parlodel): This drug inhibits prolactin production. Web of Science, in-addition to the relevant printed medical journals and periodicals. Therefore we recommend a fertility evaluation if a couple has been attempting pregnancy for 6 months or more when the woman is 35 years of age or older. Practice Committee of the American Society for Reproductive Medicine. A history and physical examination can help direct the evaluation.