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Illegal drugs: Some women who use marijuana or cocaine may have fertility problems. The testicles will be checked for lumps or deformities, and the shape and structure of the penis will be examined for abnormalities. IUI treatment, where the sperm is transferred into the uterus via the cervix, is commonly used in cases of low sperm count or quality. Assessment of efficacy of varicocele repair for male subfertility: a systematic review.

Normal uterine implantation can therefore not occur. Intrauterine insemination is a process by which sperm is washed and prepared for placement into the uterine cavity, therefore bypassing the cervix and bringing a higher concentration of motile sperm closer to the tubes and ovulated egg. Some causes, such as hyperprolactinemia, are reversible with proper treatment. A defect in any of these sperm structures may result in infertility that will not be detected by semen analysis.[60] Antisperm antibodies cause immune infertility.[23][24] Cystic fibrosis can lead to infertility in men. 42 However, none of these methods has been proven to increase pregnancy rates when used to predict timing of intercourse.

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8,33,35,36 Lastly, in vitro fertilization, with or without intracytoplasmic sperm injection, is the mainstay of assisted reproductive technology for male factor infertility. The treatment approach depends on the cause(s) of the infertility. Sperm are then collected, washed, and added to the eggs in the dish. Endometriosis may be treated through laparoscopic surgery. Transvaginal ultrasound – Ultrasound is an important tool in evaluating the structure of the uterus, tubes, and ovaries.

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Sperm Granuloma and Reversibility of Vasectomy. (PDF, 11 MB) Lancet, 1977. Clomiphene citrate for unexplained subfertility in women.

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Apparent Fertility of Human Spermatozoa from the Caput Epididymidis. (PDF, 4 MB) Journal of Andrology, 1989. Etiologies include cysts (midline and eccentric), ductal calcification and stones, postinfectious, and postoperative. These abnormalities can also cause irregular bleeding between menstrual cycles. Occasionally, the cytoplasm contains crystalloids of Reinke after puberty. She will also undergo a gynecologic examination and a number of tests: Laparoscopy involves inserting a thin tube with a camera on to investigate and possibly remove unwanted tissue. Effectiveness of the postcoital test: randomised controlled trial. A frequency of intercourse less than once per week results in a probability of conception of about 17% within 6 months.