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Ejaculation disorders: If the ejaculatory ducts are blocked, semen may be ejaculated into the bladder Hormonal imbalance: Hypogonadism, for example, can lead to a testosterone deficiency. Some methods may be used in concert with other methods. Unexplained infertility[edit] In the US, up to 20% of infertile couples have unexplained infertility.[61] In these cases abnormalities are likely to be present but not detected by current methods. Egg donation. This can help you if you have ovaries that don't work right but you have a normal uterus. The most common cause of male infertility is varicoceles.

Fertility Evaluation of the Female Partner: Evidence of Ovulation There are a variety of tests to check if and when the woman is ovulating. This may be because the ovaries do not contain eggs. In cases when the quality of sperm is very poor, or sperm is completely absent in the ejaculate (azoospermia), donor’s sperm can be used (if culturally acceptable). ICSI with Epididymal and Testicular Sperm Retrieval. (PDF, 1 MB) Male Sterility and Motility Disorders: Etiological Factors and Treatment, 1998. It is important to tell a doctor if excessive mental and emotional stress develop.

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Delayed conception and active and passive smoking. Less than 50% motility may significantly affect the ability for sperm to fertilize the egg without therapy; and (4) morphology, or shape – there are three parts of the sperm that are analyzed for morphology: the head, midpeice, and tail.

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This can reveal signs of endometriosis, scarring, blockages, and some irregularities of the uterus and fallopian tubes. Treatment of Male-factor Infertility. (PDF, 10 MB) Chapter 9 from Progress in Infertility, 1993.

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30–32 Other treatment options include antiestrogens and gonadotropin therapy, which showed a trend toward increased live birth rates in a Cochrane review. Eating disorders such as anorexia nervosa are also associated with extremely low BMI. A Physical Map of the Human Y Chromosome. (PDF, 160 KB) Nature, 2001. Laparoscopy for Cryptorchidism. (PDF, 1 MB) The Journal of Urology, 1980. Hypothyroidism has no effect on male libido or semen quality. Microsurgery of the Male Genitalia for Infertility. (PDF, 8 MB) Chapter 59 from Reconstructive Urologic Surgery, 1994. Recombination Between Palindromes P5 and P1 on the HUman Y Chromosome Causes Massive Deletions and Spermatogenic Failure. (PDF, 786 KB) The American Journal of Human Genetics, 2002. Individual tests evaluate only one aspect of a quality necessary for fertility and do not imply the ability or inability to achieve conception (see the Table in the Procedures section). A review of systems and physical examination of the endocrine and gynecologic systems should be performed.