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If conservative medical treatments fail to achieve a full term pregnancy, the physician or WHNP may suggest the patient undergo in vitro fertilization (IVF). This can happen as a result of: an infection of your testicles testicular cancer  testicular surgery a problem with your testicles you were born with (a congenital defect) when one or both testicles hasn't descended into the scrotum, the loose sac of skin that contains your testicles (undescended testicles) injury to your testicles Sterilisation Some men choose to have a vasectomy if they don't want children or any more children.  It involves cutting and sealing off the tubes that carry sperm out of your testicles (the vas deferens) so your semen will no longer contain any sperm. Endometriosis can only be confirmed by surgery, usually laparoscopy. Men with elevated prolactin levels present with gynecomastia, diminished libido, erectile dysfunction, and occasionally galactorrhea. However, varicoceles may lead to impaired testicular spermatogenesis and steroidogenesis, potentially due to an increased intratesticular temperature, reflux of toxic metabolites, and/or germ cell hypoxia as potential causes of these changes, and this appears to be progressive over time.

Distribution of Spermatogenesis in the Testicles of Azoospermic Men: The Presence of Spermatids in the Testes of Men with Germinal Failure. (PDF, 295 KB) Human Reproduction, 1997. If you’re having trouble conceiving, you are certainly not alone.

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Hypothyroidism: Low thyroid hormone levels--can cause poor semen quality, poor testicular function and may disturb libido.  May be caused by a diet high in iodine.  Reducing iodine intake or beginning thyroid hormone replacement therapy can elevate sperm count.  This condition is found in only 1 percent of infertile men. A history of pelvic infections or sexually transmitted diseases: Sexually transmitted infections, such as chlamydia or gonorrhea, can cause inflammation and permanent scarring of the fallopian tubes. The dynamics of stress in fertile and infertile couples.

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Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatment. ICSI with Epididymal and Testicular Sperm Retrieval. (PDF, 1 MB) Male Sterility and Motility Disorders: Etiological Factors and Treatment, 1998. The physician or WHNP may also suggest using a conception cap cervical cap, which the patient uses at home by placing the sperm inside the cap and putting the conception device on the cervix, or intrauterine insemination (IUI), in which the doctor or WHNP introduces sperm into the uterus during ovulation, via a catheter.

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Problems with sperm If a man makes too few sperm or none at all, the woman cannot become pregnant. Financing fertility treatment can also be costly, but there are programs that can help with this.Introduction Over their lifetimes, approximately one in every five couples in the United States seeks infertility care.  Surprisingly, only half of couples who are trying to become pregnant achieve pregnancy easily and about one in ten American couples of reproductive age are involuntary infertile; male infertility accounts for half of these cases.  Despite the relative importance of infertility due to the male, infertility evaluations have traditionally focused on women, because women tend to seek gynecological care and because men often are reluctant to seek advice. Ectopic pregnancy This is when a fertilized egg implants outside the womb, usually in a fallopian tube. Instruments can be introduced through the hysteroscope, allowing the surgeon to remove or correct any anatomic abnormalities. These endometrial cells can extend as far as the outside of the fallopian tubes, the ovaries and the bladder. These medications may help to address male infertility caused by erectile dysfunction.


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See also
Infertility Testicular Causes
Uconn Infertility Doctors
Signs and Symptoms of Secondary Infertility