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Surgical sperm aspiration: The sperm is removed from part of the male reproductive tract, such as the vas deferens, testicle, or epididymis. The idea is that for women beyond age 35, every month counts and if made to wait another six months to prove the necessity of medical intervention, the problem could become worse. The only known risk factor for Klinefelter syndrome is advanced maternal age. After one year of having unprotected sex, about 15 percent of couples are unable to get pregnant. There may be testicular malformations, hormone imbalance, or blockage of the man's duct system.

Out of this group, the following statistics on the cause of infertility generally apply: One-third of couples will discover fertility problems in only the man. Semen analysis: A sample may be taken to test for sperm concentration, motility, color, quality, any infections, and whether any blood is present. Clinical diagnostic testing for the cytogenetic and molecular causes of male infertility: the Mayo Clinic experience. Germ cells interdigitate with the Sertoli cells and undergo ordered maturation, migrating toward the lumen as they mature.

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Advances in assisted reproductive technologies, such as IVF, can offer hope to many couples where treatment is available, although barriers exist in terms of medical coverage and affordability. Their ability to move (> 60%) and forward progression (more than 2 on a 1-to-4 scale). Female factor Dysfunction of the female reproductive organs is also apparent in around 40% of infertile couples.

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Intracytoplasmic Sperm Injection Today: A Personal Review. (PDF, 5 MB) Human Reproduction, 1998. Intra-uterine insemination for male subfertility.

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In men, exposure to lead can reduce both sex drive and sperm count. Diagnosis Male infertility is usually diagnosed by a semen analysis. Vasectomy Reversal. (PDF, 733 KB) The New England Journal of Medicine, 1977. Infection and Disease: Mumps, tuberculosis, brucellosis, gonorrhea, typhoid, influenza, smallpox, and syphilis can cause testicular atrophy.  A low sperm count and low sperm motility are indicators of this condition.  Also, elevated FSH levels and other hormonal problems are indicative of testicular damage.  Some STDs like gonorrhea and chlamydia can cause infertility by blocking the epididimis or tubes.  These conditions are usually treated by hormonal replacement therapy and surgery in the case of tubular blockage. Symptoms depend on what is causing the infertility. They are very common (approximately 40% of women have them them). Your physician will discuss these approaches to having a baby if appropriate to your particular case. Blockage of the ejaculatory duct: Sperm can be extracted directly from the testicles and injected into an egg in the laboratory. It is important to establish whether or not the couple really wants to have a child. However, future pregnancy is possible with the other ovary and tube. No role for: Post-coital testing for cervical mucous. Endometrial Biopsy. Treatment of tubal obstruction generally requires referral for subspecialty care.