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This mucus mainly affects the lungs, but males may also have a missing or obstructed vas deferens. Hjollund NH, Storgaard L, Ernst E, Bonde JP, Olsen J. Normal Fertilization of Human Oocytes after Testicular Sperm Extraction and Intracytoplasmic Sperm Injection.(PDF, 2 MB) Fertility and Sterility, 1994. The severity usually depends on how near to the testicles the radiation was aimed. Microsurgery and Andrology. (PDF, 5 MB) Chapter from textbook, 1991. Varicocele and male factor infertility treatment: a new meta-analysis and review of the role of varicocele repair.

Of adults with who are infected with mumps, 25% develop orchitis; two thirds of cases are unilateral, and one third are bilateral. Definition of Infertility Infertility is defined as the inability to conceive after 12 months of having sexual intercourse with average frequency, without the use of any form of birth control. Bushnik T, Cook JL, Yuzpe AA, Tough S, Collins J. The other cases are caused by a mixture of male and female problems or by unknown problems. HMG contains equal quantities of FSH and LH and are administered intramuscularly. Surgical Management of Male Infertility. (PDF, 2 MB) Chapter 12 from textbook, Male Infertility, 1992.

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Religious leaders' opinions on fertility treatments; for example, the Roman Catholic Church views infertility as a calling to adopt or to use natural treatments (medication, surgery, or cycle charting) and members must reject assisted reproductive technologies. Thus women whose pregnancy spontaneously miscarries, or whose pregnancy results in a still born child, without ever having had a live birth would present with primarily infertility. (Trends in prevalence4). Male infertility: New treatments, more pregnancies The ultimate goal of male infertility treatment is to create a pregnancy.

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Congenital forms of anestrus may be due to lack of function of the hypothalamic-pituitary axis or ovarian dysgenesis. Guidelines and recommendations were retrieved from the best evidence reviews at the American College of Obstetricians and Gynaecologists (ACOG), American Society for Reproductive Medicine (ASRM), Canadian Fertility and Andrology Society (CFAS), European Society of Human Reproduction and Embryology (ESHRE), Human Fertilisation and Embryology Authority (HFEA), Royal College of Obstetricians and Gynaecologists (RCOG), and the World Health Organization (WHO). 34 Although intrauterine insemination has been shown to be equally effective as timed intercourse in unstimulated cycles, there is a modest increase in live birth rates when combined with ovarian stimulation.

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The Relationship of Abnormal Semen Values to Pregnancy Outcome. (PDF, 770 KB) Chapter 10 from textbook, 1992. 1,2 However, if your partner is 35 years old or over, you or your partner may be considered infertile if you haven’t conceived after 6 months of unprotected sex. Causes in men The following are common causes of infertility in men. Semen is the milky fluid that a man's penis releases during orgasm. Testing for Men In the case of men, a general physical examination will be performed, with discussions concerning medical history, illnesses, disabilities, medications and sexual habits. Cryptorchidism An estimated 3% of full-term males are born with an undescended testicle, but fewer than 1% remain undescended by age 1 year. Frequency of intercourse The couple may be advised to have sexual intercourse more often around the time of ovulation. Grading is as follows: Grade 0 – No movement Grade 1 – Sluggish movement Grade 2 – Slow movement in a poorly defined direction Grade 3 – Slow or curved forward movement Grade 4 – Fast movement straight forward  Patients with abnormal sperm motility should be evaluated for the following: Pyospermia Antisperm antibodies Varicocele Sperm ultrastructural abnormalities Partial ductal obstruction Sperm morphology The head, acrosome, mid piece, and tail of individual spermatozoa are analyzed with phase-contrast microscopy after fixation with Papanicolaou stain. Fertility awareness methods are used to discern when these changes occur by tracking changes in cervical mucus or basal body temperature.