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Although many of these can be treated through surgery or hormonal substitutions, some may be indefinite.[59] Infertility associated with viable, but immotile sperm may be caused by primary ciliary dyskinesia. The couple should make sure to have sex during the three days before ovulation. No Differences in Outcome after Intracytoplasmic Sperm Injection with Fresh or with Frozen-thawed Epididymal Spermatozoa. (PDF, 66 KB) Human Reproduction, 1999. Microscopic Vasoepididymostomy: Specific Microanastomosis to the Epididymal Tubule. (PDF, 15 MB) Fertility and Sterility, 1978. When it is possible to find the cause, treatments may include medicines, surgery, or assisted reproductive technology.

Do you have any medical problems or prior surgeries? The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. Myotonic dystrophy This is an autosomal dominant defect in the dystrophin gene that causes a delay in muscle relaxation after contraction. The typical indication is the oligoasthenoteratozoospermia here.

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Have you had any sexually transmitted infections or abnormal pap smears? Causes Potential causes of male infertility are: The complete absence of sperm (azoospermia) Low sperm count (oligospermia) Abnormal sperm shape (teratozoospermia) Problems with sperm movement (asthenozoospermia) Sperm that is completely immobile (necrozoospermia); the sperm may be alive and not moving, or they may be dead Problems with sperm delivery, due to sexual dysfunction, an obstruction, previous vasectomy, or retrograde ejaculation Problems with erections or other sexual problems There are a variety of conditions that may lead to male infertility. Low testosterone (male hypogonadism) and other hormonal problems have a number of possible underlying causes. Your physician will examine you carefully to determine if you have fibroids and if removal is necessary.

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Intra-uterine insemination for male subfertility. The laboratory evaluation begins with a semen analysis. To prevent thromboembolism, a sufficient intake of fluids is necessary; also, ascites and pleural effusions should not lead to the wrong track and lead to a restriction of fluids. Controversies in OB/GYN: Is Varicocelectomy Useful for Treatment of Male-factor Infertility? (PDF, 4 MB)Contemporary OB/GYN, 2001. Associated conditions[edit] For most women, alteration of menstrual periods is the principal indication of chronic anovulation.

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As new technology becomes available, fertility treatment is now accessible to more people, and success rates and safety are improving all the time. Through this technique, your physician can diagnose abnormalities such as fibroids or polyps within the uterine cavity, and via narrow instruments that run through the hysterosope, can remove or correct the great majority of these abnormalities. Search dates: January 6, 2014; January 28, 2014; February 5, 2014; and November 18, 2014. A review of systems and physical examination of the endocrine and gynecologic systems should be performed. Human chorionic gonadotropin (Ovidrel, Pregnyl): Used together with clomiphene, hMG, and FSH, this can stimulate the follicle to ovulate. Web of Science, in-addition to the relevant printed medical journals and periodicals. In most cases, surgery can be performed to either reverse these blockage or to retrieve sperm directly from the epididymis and testicles. Structural abnormalities in the uterus: these can affect the cervix or the uterine corpus.  Anomalies can be anatomical (septate uterus, T-shaped uterus, etc.) or pathologies that generate embryo implantation issues or issues with how the pregnancy progresses: polyps, endometritis, Asherman's syndrome - synechiae or adherences of the walls of the uterine cavity - or myomas, a benign tumour that generates anatomical distortion and makes getting pregnant complicated (this is one of the most common pathologies but does not necessarily cause fertility issues). Normal Fertilization of Human Oocytes after Testicular Sperm Extraction and Intracytoplasmic Sperm Injection.(PDF, 2 MB) Fertility and Sterility, 1994.