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Because 85% of couples conceive spontaneously within 12 months if having intercourse regularly,5 it is important to identify those who will benefit from infertility evaluation. When the eggs are mature, your doctor collects them with a device called a vaginal ultrasound probe. 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.

Regrettably, this often leads to untruly high expectations of assisted reproduction techniques (ART) [40]. As treatment begins, couples may experience cycles of optimism and despair with each passing menstrual cycle.

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These high-tech and expensive male infertility treatments give sperm an artificial boost to get into an egg. A penile exam should detect atrophy, tumors, epididymal cysts, cryptorchidism (undescended testicles), vas thickening or absence of the vas deferens, hydrocele (fluid accumulation in the testis or along the spermatic cord) or varicocele.

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8,46 Obesity impairs fertility and the response to fertility treatments, including in vitro fertilization; therefore, it is advisable to counsel patients who are obese to lose weight before conception or infertility treatments. For intrauterine insemination, in vitro fertilization, and intracytoplasmic sperm injection procedures, the removal of certain components of the ejaculate (ie, seminal fluid, excess cellular debris, leukocytes, morphologically abnormal sperm) with the retention of the motile fraction of sperm is desirable. Infection: Some infections, such as gonorrhea or inflammation of the testicles, can affect sperm production or sperm health or can cause scarring that blocks the passage of sperm. 3,4  Infertility may arise from male factors, female factors, or a combination of these (Table 15–8). In the United Kingdom, it is estimated that one in six couples would complaint of infertility [3].

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Risk factors for male infertility include obesity, age (over 40 -- yes, men also have biological clocks), current or previous infection of an STD, smoking, or excessive drinking. Some physical effects may also result from treatment. 2) Medications to induce egg development and ovulation: The medications that help stimulate the ovary to develop mature eggs for ovulation come in two forms: pills taken by mouth and injections. At the same time, the number of pregnancy losses and malformations in the foetus increase. The main side effects are hot flushes, gastrointestinal events (nausea and vomiting), headache, back pain, and leg cramps. Corticosteroids are usually used to reduce the production of testosterone. The fluid comes from the prostate gland, the seminal vesicle, and other sex glands. The opening improves the ability of the embryo to implant into the uterine lining. It is important to undergo a thorough fertility evaluation to determine the problem. On the seventh day, E2 measurement and ultrasonography are performed. IVF and related techniques (ICSI, ZIFT, GIFT) are called assisted reproductive technology (ART) techniques. 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. Implantation: the process when the fertilized egg attaches to the uterine wall.