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The prostate also secretes zinc, phospholipids, phosphatase, and spermine. ART procedures, such as GIFT, IVF, and ICSI, also can be used in cases of male infertility. Medications Testosterone replacement therapy, long-term anabolic steroid use, cancer medications (chemotherapy), certain antifungal medications, some ulcer drugs and certain other medications can impair sperm production and decrease male fertility. In ZIFT, your doctor places the fertilized eggs -- at this stage called zygotes -- into your fallopian tubes within 24 hours.
Options for Male Infertility Treatment Some causes of male infertility are treatable or correctable through surgery. Ejaculatory Incompetence: This rare psychological condition prevents men from ejaculating during sexual intercourse even though they can ejaculate normally through masturbation. This condition sometimes responds well to behavioral therapy; if this technique does not work, artificial insemination can be employed using an ejaculate from masturbation.Continued Hysteroscopy . In this procedure, your doctor places a hysteroscope into your uterus through your cervix. Options include intrauterine insemination (also known as IUI) or IVF with intracytoplasmic sperm injection (also known as ICSI). Men who are underweight tend to have lower sperm concentrations than those who are at a normal BMI. An estimated 28% of all couples seeking reproductive assistance may have normal findings on their clinical evaluation, making the unexplained infertility a more common provisional diagnosis.
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Couples who do not conceive after treatment for six cycles with documented ovulation should also consider referral to an infertility specialist. Problems in the uterus or fallopian tubes can prevent the egg from traveling from the ovary to the uterus, or womb. ART: Intracytoplasmic Sperm Injection (ICSI) Another ART procedure Intracytoplasmic Sperm Injection (ICSI) involves the injection of a single sperm into the egg. S. women, or 6% of the married population 15 to 44 years of age, reported infertility, and 6.
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Testicular neoplasia, commonly producing estrogen, usually causes infertility. These abnormalities can also cause irregular bleeding between menstrual cycles. Medication. If you have ovulation problems, you may be prescribed drugs such as clomiphene citrate (Clomid, Serophene), gonadotropins (such as Gonal-F, Follistim, Humegon and Pregnyl), or letrozole. Some causes, such as hyperprolactinemia, are reversible with proper treatment.
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Lead, toxic fumes and exposure to pesticides are suspected contributors to infertility. Treatment of Uterine Factors Until in vitro fertilization became available, a patient with congenital absence of the uterus and vagina (Rokitansky-Küster-Hauser syndrome) had no chance to have a biologic child. Intracytoplasmic Sperm Injection and Infertility. (PDF, 53 KB) Nature Genetics, 2001. 1 Among couples 15 to 44 years of age, nearly 7 million have used infertility services at some point. World Health Organization reference values for human semen characteristics. Also searched were the Cochrane database, the National Guideline Clearinghouse database, Dynamed, and Essential Evidence Plus. Extra Renal Function in Patients with Duplication Anomaly: Obligatory and Compensatory Renal Growth. (PDF, 1 MB) The Journal of Urology, 1974. Primary infertility When a woman is unable to ever bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth she would be classified as having primary infertility.
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See also
Infertility in Judaism
Infertility Registered Nurse
Testosterone Injections Infertility