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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. As new technology becomes available, fertility treatment is now accessible to more people, and success rates and safety are improving all the time.

Sermondade N, Faure C, Fezeu L, Lévy R, Czernichow S; Obesity-Fertility Collaborative Group. The stimulation of follicular maturation is continued with HMG or FSH. Overheated testicles: Causes include an undescended testicle, a varicocele, or varicose vein in the scrotum, the use of saunas or hot tubs, wearing tight clothes, and working in hot environments.

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Continued For some men, no male infertility treatments seem to help. Other medical techniques are e.g. tuboplasty, assisted hatching, and preimplantation genetic diagnosis.

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Ideally, the test should be performed at least twice to confirm results. In patients with varicocele, there is insufficient evidence to suggest corrective surgery will increase live birth rates, despite improvement in semen analysis results. The acrosome should be 40-70% of the size of the head, and no mid piece or tail abnormalities should be present. IVF and related techniques (ICSI, ZIFT, GIFT) are called assisted reproductive technology (ART) techniques.

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Other testing may be needed based on circumstances, including testicular biopsy, genetic testing, and imaging (Table 36–8,10,19,20). 1) Advancing maternal age: Historically before the latter 20th century, women were conceiving in their teens and twenties, when age-related abnormalities with the egg were not evident. Secondary infertility is used to refer to those cases in which miscarriages occur after having had one successful pregnancy.Infertility has traditionally been thought of as a woman's problem. Hysterosalpingogram (HSG) – This test is essential for evaluating fallopian tubal patency, uterine filling defects such as fibroids and polyps, and scarring of the uterine cavity (Asherman syndrome). The first transatlantic surgery (Lindbergh operation) ever performed was a laparoscopic gallbladder removal. 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. Afterward, radiographs are taken and the contrast material can be seen in the abdominal cavity if the tubes are pervious.