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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. High Fertilization and Pregnancy Rate after Intracytoplasmic Sperm Injection with Spermatozoa Obtained from Testicle Biopsy. (PDF, 3 MB) Human Reproduction, 1995. In ZIFT, your doctor places the fertilized eggs -- at this stage called zygotes -- into your fallopian tubes within 24 hours. Causes of male infertility include Physical problems with the testicles Blockages in the ducts that carry sperm Hormone problems A history of high fevers or mumps Genetic disorders Lifestyle or environmental factors About a third of the time, infertility is because of a problem with the man. Prolactin stimulates milk production during breastfeeding. History-taking Couples with infertility problem should be interviewed separately as well as together, to bring out important facts that one partner might not wish to disclose to the other.

Metformin (Glucophage) is another type of medication that may help you ovulate normally if you have insulin resistance or PCOS (polycystic ovarian syndrome). Results of Microsurgical Vasoepididymostomy: Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Human Reproduction, 1989.

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First-line therapy is the ultrasound-guided transvaginal puncture. 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. Algorithm for infertility evaluation. (ART = assisted reproductive technology.) Infertility Evaluation Figure 1. Ovulatory periods are often accompanied by midcycle symptoms such as mittelschmerz or premenstrual symptoms. In the majority of cases, there are no obvious symptoms that you may be infertile. Semen that is not initially a coagulum is often an indication of an ejaculatory duct obstruction or the absence of seminal vesicles.

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Vasectomy and Vasectomy Reversal. (PDF, 7 MB) Fertility and Sterility, 1978. Moderate alcohol consumption has not been shown to lower fertility in most men, but it may affect those who already have a low sperm count.

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In some couples who have been unable to reproduce, tests fail to find the cause of infertility. Clark AM, Thornley B, Tomlinson L, Galletley C, Norman RJ. Causes It is estimated that infertility affects 1 in 7 heterosexual couples in the UK. In about 40% of cases disorders are found in both the man and the woman. Article Sections Infertility is defined as the inability to achieve pregnancy after one year of regular, unprotected intercourse. Because of the intimate relationship between the fallopian tubes and the other pelvic organs and because, in the great majority of the cases, peritoneal pathology involves tubal pathology, the treatments of these factors are discussed together. Primary Lymphoma of Kidney. (PDF, 586 KB) The Journal of Urology, 1973. Illegal drugs: Some women who use marijuana or cocaine may have fertility problems.