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Outcome of Intracytoplasmic Sperm Injection with Testicular Spermatozoa in Obstructive and Non-obstructive Azoospermia. (PDF, 426 KB) Human Reproduction, 1996. It does not affect the couples' life only, but it also affects the healthcare services and social environment [4]. Fertility Evaluation of the Male Partner: Semen Analysis Semen analysis is an essential part of the evaluation.

Abnormal head shapes are described as tapered, duplicated, small, large, amorphous, or pyriform. Known male factor semen abnormalities: If a male partner has a history of infertility with a prior partner, or if there are abnormalities on his semen analysis, then we advise earlier fertility evaluation, ideally within 6 months of attempting pregnancy. Evaluation of the uterus and fallopian tubes can be performed by hysterosalpingography in women with no risk of obstruction.

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Treatment is with human menopausal gonadotropin (HMG) or exogenous FSH. Genetics of Male Infertility: Evolution of the X and Y Chromosome and Transmission of Male Infertility to Future Generations. (PDF, 10 MB) Chapter 5 from Essential IVF, 2004.

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Ovulation problems can be a result of:  polycystic ovary syndrome (PCOS) thyroid problems – both an overactive thyroid gland and an underactive thyroid gland can prevent ovulation premature ovarian failure – where a woman's ovaries stop working before the age of 40 Scarring from surgery Pelvic surgery can damage and scar the fallopian tubes, which link the ovaries to the womb. Premature Ejaculation: Is defined as an inability to control the ejaculatory response for at least thirty seconds following penetration.  Premature ejaculation becomes a fertility problem when ejaculation occurs before a man is able to fully insert his penis into his partner�s vagina.  Premature ejaculation can be overcome by artificial insemination or by using a behavioral modification technique called the �squeeze technique� which desensitizes the penis. Surgical treatment Surgical treatment should be directed at destroying the disease using electrocoagulation, laser vaporization, endocoagulation, or excision. [84] Removal of endometriomas and lysis of adhesions complete the treatment. A high serum estradiol level (greater than 60 to 80 pg per mL [220 to 294 pmol per L]) in conjunction with a normal FSH level has also been associated with lower pregnancy rates. For this reason, it’s recommended that couples who’ve been trying to get pregnant for over a year without success seek the advice of a doctor. It is important to tell a doctor if excessive mental and emotional stress develop.

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Both infertility and subfertility are defined as the inability to conceive after a certain period of time (the length of which vary), so often the two terms overlap. 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. Normal Fertilization of Human Oocytes after Testicular Sperm Extraction and Intracytoplasmic Sperm Injection.(PDF, 2 MB) Fertility and Sterility, 1994. If the egg does not travel, it can be harder to conceive naturally. The presence of open tubes is essential for natural conception, as sperm must traverse the tubes in order to reach and fertilize the ovulated egg. Bensdorp AJ, Cohlen BJ, Heineman MJ, Vandekerckhove P. Tumors Cancers and nonmalignant tumors can affect the male reproductive organs directly, through the glands that release hormones related to reproduction, such as the pituitary gland, or through unknown causes. Central Ave Suite 2C Chicago, IL 60630 Phone: (773) 794-1818 Fax: (773) 794-1819 GURNEE 30 Tower Court Suite F Gurnee, IL 60031 Phone: (847) 662-1818 Fax: (847) 662-3001 CRYSTAL LAKE 820 E. Ascites Petechial bleedings Weight loss Visual disorders Gait pattern in small steps 2. 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. Normal uterine implantation can therefore not occur. In men, exposure to lead can reduce both sex drive and sperm count.