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The man must be producing healthy sperm in quantities large enough to fertilize an egg cell. Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989. Chemotherapy: Some chemotherapy drugs can result in ovarian failure.

Hysterosalpingography: Fluid is injected into the woman's uterus and X-rays are taken to determine whether the fluid travels properly out of the uterus and into the fallopian tubes. Allied and Complementary Medicine Database (AMED), ... Hereditary causes: due to chromosome or genetic abnormalities. In reproductive medicine, the most common surgical procedures are laparoscopy, hysteroscopy, and abdominal myomectomy (removal of uterine fibroids).

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Infection An increased number of white blood cells in the semen may be observed in patients with infectious or inflammatory processes of the genital tract. Many infertile couples have had some previous assessment for their infertility and this data should be cautiously reviewed.

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The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999. 43 Other low-cost methods of monitoring for ovulation, although less effective, include basal body temperature measurements and cervical mucus changes.

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This may be because the ovaries do not contain eggs. 6) Male factors affecting sperm function: Male factor infertility has been associated as a contributing factor causing infertility in 40-50% percent of cases, and as the sole cause for infertility in 15-20% percent of cases. Sperm Granuloma and Reversibility of Vasectomy. (PDF, 11 MB) Lancet, 1977. Clark AM, Thornley B, Tomlinson L, Galletley C, Norman RJ. Aetiology of Congenital Absence of Vas Deferens: Genetic Study of Three Generations. (PDF, 4 MB) Human Reproduction, 1993. The use of Epididymal and Testicular Spermatozoa for Intracytoplasmic Sperm Injection: The Genetic Implications for Male Infertility. (PDF, 8 MB) Human Reproduction, 1995. Hjollund NH, Storgaard L, Ernst E, Bonde JP, Olsen J. If natural selection is the primary error correction mechanism that prevents random mutations on the Y chromosome, then fertility treatments for men with abnormal sperm (in particular ICSI) only defer the underlying problem to the next male generation. Investigations will be requested to prove the clinical diagnosis and to exclude other close possibilities. This can happen as a result of: an infection of your testicles testicular cancer  testicular surgery a problem with your testicles you were born with (a congenital defect) when one or both testicles hasn't descended into the scrotum, the loose sac of skin that contains your testicles (undescended testicles) injury to your testicles Sterilisation Some men choose to have a vasectomy if they don't want children or any more children.  It involves cutting and sealing off the tubes that carry sperm out of your testicles (the vas deferens) so your semen will no longer contain any sperm. Calcification of the Seminal Vesicles and Vas Deferens in a Uremic Patient. (PDF, 3 MB) The Journal of Urology, 1971. Incidence and main causes of infertility in a resident population (1,850,000) of three French regions (1988–1989).