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Linthicum, Md.: American Urological Association, Inc.; 2010. In some cases, hormonal problems may be suspected if a man has abnormal hair growth, low libido, or other indications of sexual dysfunction. Paternal age > or = 40 years: an important risk factor for infertility.

Testicular Neoplasm in Father and Son. (PDF, 561 KB) The Journal of Urology, 1972. 3,4  Infertility may arise from male factors, female factors, or a combination of these (Table 15–8). After recovery, the testicle may return to normal or may atrophy. At least one open tube is required for IUI, and the sperm abnormality cannot be severe otherwise the sperm will not be able to swim to and fertilize the egg. The impact of small or single polyps is more controversial. Some uterine and tubal abnormalities, such as adhesions, uterine septum, or fibromyoma, may be corrected by surgical procedures.

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Female age of 35 years or older: For unclear reasons, egg numbers decrease at a rapid rate as women age. Spermatid Conception. (PDF, 1 MB) Human Reproduction, 1998. Frequency of intercourse The couple may be advised to have sexual intercourse more often around the time of ovulation. Semen and sperm Sometimes the sperm cannot travel effectively to meet the egg. Microsurgery Successful in Vasectomy Reversals. (PDF, 156 KB) The New York Times, 1975. There may be testicular malformations, hormone imbalance, or blockage of the man's duct system.

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These receptor dysfunctions may be explained by defects in specific chromosomal areas. Epidemiology of infertility For healthy young couples, the probability of getting pregnancy per a reproductive cycle is about 20% to 25%. Thankfully, even when the cause of infertility is not known, various fertility treatments can overcome the unknown road block that was preventing pregnancy and eventually lead to delivery of a healthy baby. Vasoepididymostomy to the Head of the Epididymis: Recovery of Normal Spermatozoal Motility. (PDF, 3 MB)Fertility and Sterility, 1980. ICSI can be performed when sperm counts are extremely low or abnormal. A woman who keeps having miscarriages is also considered infertile.

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Bromocriptine (Parlodel): This drug inhibits prolactin production. The enzyme aromatase is responsible for this conversion, and is found primarily in adipose tissue. Patients with a high number of immature sperm should be evaluated for excessive exposure to heat or radiation or for infectious processes. Most problems are related to premature labor and pregnancy loss. Primary spermatocytes undergo meiosis as the cells successively pass through the preleptotene, leptotene, zygotene, and pachytene stages to become secondary spermatocytes.