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Intracytoplasmatic Sperm Injection (ICSI) An intracytoplasmatic sperm injection is also a form of artificial insemination. Usually, one incision is placed near the navel and a second near the pubic hairline.

Radiation therapy: This can impair sperm production. If a blockage is present, surgery may be necessary.

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Some physical effects may also result from treatment. Physical Problems A variety of physical problems can cause male infertility.  These problems either interfere with the sperm production process or disrupt the pathway down which sperm travel from the testes to the tip of the penis.  These problems are usually characterized by a low sperm count and/or abnormal sperm morphology.  The following is a list of the most common physical problems that cause male infertility: Variocoele: A varicocele is an enlargement of the internal spermatic veins that drain blood from the testicle to the abdomen (back to the heart) and are present in 15% of the general male population and 40% of infertile men.  These images show what a variocoele looks like externally and internally.  A varicocele develops when the one way valves in these spermatic veins are damaged causing an abnormal back flow of blood from the abdomen into the scrotum creating a hostile environment for sperm development.  Varicocoeles may cause reduced sperm count and abnormal sperm morphology which cause infertility.  Variococles can usually be diagnosed by a physical examination of the scrotum which can be aided by the Doppler stethoscope and scrotal ultrasound.  Varicocoele can be treated in many ways (see treatment section), but the most successful treatments involve corrective surgery.

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Its treatment depends on the etiologic factor, but, in many instances, the underlying cause remains unknown. The most common technique of artificial insemination in human beings is intrauterine insemination.

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Male infertility: New treatments, more pregnancies The ultimate goal of male infertility treatment is to create a pregnancy. Men with elevated prolactin levels present with gynecomastia, diminished libido, erectile dysfunction, and occasionally galactorrhea. In GIFT, the sperm and eggs are mixed together before a doctor inserts them. Spermatogonia rest on the basement membrane and contain dense nuclei and prominent nucleoli. It does not affect the couples' life only, but it also affects the healthcare services and social environment [4]. Cervical factors are also thought to play a minor role, although they are rarely the sole cause. Drawbacks of ICSI include unknown risks to the egg or embryo and damage to the embryo. The testicle contains the Leydig cells and the Sertoli cells and is covered by the tunica albuginea, which also provides septae that divide it into approximately 200-350 pyramids (see image below). The treating doctor may feel inadequacy and the trust between the doctor and patient breaks down [43]. Clinical Characterization of 42 Oligospermic or Azoospermic Men with Microdeletion of the AZFc Region of the Y Chromosome, and of 18 Children Conceived via ICSI. (PDF, 606 KB) Human Reproduction, 2002. Semen analysis – The semen analysis is the main test to evaluate the male partner. It is increasingly recognized that egg quality is of critical importance and women of advanced maternal age have eggs of reduced capacity for normal and successful fertilization. This leads to the final maturation and release of the egg.