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In some cases, the reproductive urologist can improve semen function by recommending certain lifestyle changes, by hormonal treatments, or by surgery. It has been suggested that infertility be classified as a form of disability.[22] Causes[edit] Immune infertility[edit] Antisperm antibodies (ASA) have been considered as infertility cause in around 10–30% of infertile couples.[23] In both men and women, ASA production are directed against surface antigens on sperm, which can interfere with sperm motility and transport through the female reproductive tract, inhibiting capacitation and acrosome reaction, impaired fertilization, influence on the implantation process, and impaired growth and development of the embryo. Hypospadias affects about 1 in every 500 newborn boys. Fertility treatments for men Treatment will depend on the underlying cause of the infertility. To verify azoospermia, the semen should be centrifuged and evaluated under a light microscope for the presence of sperm. The stimulation of follicular maturation is continued with HMG or FSH.

For those that do not, infertility of either the male or female partner could be the reason. However, hormones are not the main problem in 97% of infertile men.

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Fibroids should be treated if they are associated with abnormal uterine bleeding or if they are thought to be the cause of infertility. Transvaginal or abdominal paracentesis should be performed if the patient becomes uncomfortable. IVF and related techniques (ICSI, ZIFT, GIFT) are called assisted reproductive technology (ART) techniques. Microsurgery for Vasectomy Reversal and Vasoepididymostomy. (PDF, 13 MB) Urology, 1984. However, for women with moderate to severe endometriosis, surgical treatment then assisted reproductive therapy can be offered.

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Oocyte Vitrification – Women’s Emancipation Set in Stone. (PDF, 70 KB) Fertility and Sterility, 2008. 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.

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Serum LH determination is more precise, especially when performed in combination with pelvic ultrasonography. Chronic anovulation is a common cause of infertility. Problems with sexual intercourse These can include trouble keeping or maintaining an erection sufficient for sex (erectile dysfunction), premature ejaculation, painful intercourse, anatomical abnormalities such as having a urethral opening beneath the penis (hypospadias), or psychological or relationship problems that interfere with sex. In humans, infertility is the inability to become pregnant after one year of intercourse without contraception involving a male and female partner.[2] There are many causes of infertility, including some that medical intervention can treat.[3] Estimates from 1997 suggest that worldwide about five percent of all heterosexual couples have an unresolved problem with infertility. Assisted conception The following methods are currently available for assisted conception. A variety of hormonal imbalances can affect a man's fertility. Infertility treatments are expensive and often not covered by insurance-this could deter lower Source : Demographic data evaluation.: fertility measures PPT Presentation Summary : COVENANT UNIVERSITY DEPT. Epididymal Extravasation Following Vasectomy as a Cause for Failure of Vasectomy Reversal. (PDF, 22 MB)Fertility and Sterility, 1979. This can result from: A medical condition: This could be a testicular infection, cancer, or surgery.