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Male infertility refers to a male’s inability to cause a pregnancy in a fertile female.   Causes vary.   Testing is available.   Medication or surgery. Preliminary Tests of a New Reversible Male Contraceptive in Bush Dog, Speothos Venaticus: Open-ended Vasectomy and Microscopic Reversal. (PDF, 106 KB) Journal of Zoo and Wildlife, 2006. Other testing may be needed based on circumstances, including testicular biopsy, genetic testing, and imaging (Table 36–8,10,19,20). Approximately 10% of cases are unexplained, where no definitive cause can be identified. Testis Biopsy and the Infertile Male. (PDF, 20 MB) Chapter 15 from textbook Office Andrology, 2005. In some cases, simply removing the polyp solves infertility.

The chance of a multiple birth is lower with an oral fertility drug. If a woman has an ovulation disorder, she may ovulate infrequently or not all. Metformin (Glucophage) is another type of medication that may help you ovulate normally if you have insulin resistance or PCOS (polycystic ovarian syndrome). A varicocele is a varicose vein found in the scrotum. The epididymis is a 3- to 4-cm long structure with a tubular length of 4-5 m.

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If necessary, they refer patients to a fertility clinic or local hospital for more specialized tests. The following problems are possible: Low sperm count: The man ejaculates a low number of sperm.

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37,38 The addition of 1,500 to 1,700 mg of metformin (Glucophage) daily may increase ovulation and pregnancy rates, but it does not significantly improve live birth rates over clomiphene alone. Ectopic pregnancy This is when a fertilized egg implants outside the womb, usually in a fallopian tube. Adequate nutritional and health status to maintain nutrition and oxygenation of placenta and fetus. Instruments can be introduced through the hysteroscope, allowing the surgeon to remove or correct any anatomic abnormalities.

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If a tube is blocked and filled with fluid (called a hydrosalpinx), then minimally invasive surgery (laparoscopy or hysteroscopy) to either remove the tube or block/separate it from the uterus prior to any fertility treatments is recommended. If the sperm do not have the right shape, or they cannot travel rapidly and accurately towards the egg, conception may be difficult. Polycystic ovarian syndrome is the most frequent indication for ovulation induction. Choose a single article, issue, or full-access subscription. Causes of infertility include male factors, ovulatory dysfunction, uterine abnormalities, tubal obstruction, peritoneal factors, or cervical factors. Male infertility tests: Going under the microscope Identifying the cause of a man's infertility is as much an art as a science. “The first step is an evaluation by a physician specializing in male infertility,” says Stephen Shaban, MD, a urologist specializing in male reproductive medicine and microsurgery in Raleigh, North Carolina. Hormone imbalances Infertility can result from disorders of the testicles themselves or an abnormality affecting other hormonal systems including the hypothalamus, pituitary, thyroid and adrenal glands.