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The testicles will be checked for lumps or deformities, and the shape and structure of the penis will be examined for abnormalities. If the epididymis is blocked, sperm may not be ejaculated properly. Most problems are related to premature labor and pregnancy loss. Artificial Insemination In this process, male sperm is introduced into the female genital tract in order to achieve fertilization. Varicoceles are repaired with surgery to block off the abnormal veins.

Causes of infertility and sterility in men The male factor is difficult to evaluate because sperm analyses do not always indicate if there is a problem or not. 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.

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It is better for a couple to see the doctor together. The severity usually depends on how near to the testicles the radiation was aimed. Microscopic Vasectomy Reversal 30 Years Later: A Summary of 4010 Cases by the Same Surgeon. (PDF, 295 KB)Journal of Andrology, 2004.

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Distribution of Spermatogenesis in the Testicles of Azoospermic Men: The Presence of Spermatids in the Testes of Men with Germinal Failure. (PDF, 295 KB) Human Reproduction, 1997. 8 If a woman has irregular cycles, the testing should be conducted later in the cycle, starting seven days before presumed onset of menses, and repeated weekly until menses. We recommend immediate evaluation for a couple attempting pregnancy when the woman has a prior history of pelvic infection. Do you have a family history of medical problems? In this case, symptoms can also include: Skin changes, including more acne Changes in sex drive and desire Dark hair growth on the lips, chest, and chin Loss of hair or thinning hair Weight gain Other symptoms of disorders that may lead to infertility include: Milky white discharge from nipples unrelated to breastfeeding Pain during sex Many other things can be related to infertility in women, and their symptoms vary. Sperm Granuloma and Reversibility of Vasectomy. (PDF, 11 MB) Lancet, 1977.

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If this is unsuccessful, the dosage may be increased to 100 mg daily. This allows for the diagnosis and treatment of conditions such as endometriosis with one procedure. Bushnik T, Cook JL, Yuzpe AA, Tough S, Collins J. If you suspect you are infertile, see your doctor. Testicular Neoplasm in Father and Son. (PDF, 561 KB) The Journal of Urology, 1972. 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. Some problems stop an egg being released at all, while others prevent an egg being released during some cycles but not others. Microsurgical Epididymal Sperm Aspiration and Assisted Reproductive Techniques. (PDF, 4 MB) Frontiers in Human Reproduction, 1991. Couples will have to consider the ethical and emotional aspects of this procedure. Ovulation induction agents increase the risk of multiple pregnancy, ovarian hyperstimulation syndrome, and thrombosis, and they may increase the risk of ovarian cancer in women who remain nulliparous. Limits were placed on language and human race as well. Successful Pregnancy after Microsurgical Transplantation of an Intact Ovary. (PDF, 438 KB) The New England Journal of Medicine, 2008. Costs for fertility testing and treatments History The doctor will ask questions to try to get clues as to the cause of your infertility.