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Between 45 and 50 percent of cases are thought to stem from factors that affect the man. Tests and trials are available, but testing does not always reveal a specific cause.

Obesity may also lead to less frequent ovulation or to less frequent intercourse, thereby contributing to fertility problems. Infertility service use in the United States: data from the National Survey of Family Growth, 1982–2010. Artificial Insemination In this process, male sperm is introduced into the female genital tract in order to achieve fertilization. They can be blocked due to numerous causes, including infections,  trauma or abnormal development, such as with cystic fibrosis or similar inherited conditions. Serum LH determination is more precise, especially when performed in combination with pelvic ultrasonography. Therefore, any pituitary malfunctioning affects other glands under its influence, including the ovaries.

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Role of Semen Analysis in Subfertile Couples. (PDF, 250 KB) Fertility and Sterility, 2010. The gonadotropins in these formulations are FSH, and in some cases, a combination of FSH and LH (luteinizing hormone). 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. Measures the LH in urine to detect if and when ovulation has occurred.

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Simultaneous Treatment of the Wife in Infertile Couples with Oligospermia. (PDF, 4 MB) Fertility and Sterility, 1983. Laparoscopy is an operation performed in the abdomen or pelvis through small incisions, generally no more than a centimeter, with the assistance of a laparoscope attached to a camera which projects to a screen. Semen that is not initially a coagulum is often an indication of an ejaculatory duct obstruction or the absence of seminal vesicles. When the eggs are mature, your doctor collects them with a device called a vaginal ultrasound probe.

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Key to the diagnosis of male infertility is a semen analysis, which assesses primarily sperm numbers, sperm movement and sperm form. A man’s age significantly affects coital frequency and sexual function. Normal immunologic responses to accommodate sperm and conceptus. This abnormality is usually surgically corrected in infancy.