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4 IU per L]) can help differentiate between primary and secondary disorders. Intracytoplasmic sperm injection[edit] ICSI technique is used in case of poor semen quality, low sperm count or failed fertilization attempts during prior IVF cycles.

This technique involves an injection of a single healthy sperm directly injected into mature egg. Epidemiology of Sterility and Infertility Sterility and infertility affect about 10 – 15% of couples. Povey AC, Clyma JA, McNamee R, et al.; Participating Centres of Chaps-UK. In addition to the components already listed, semen is also composed of secretions from the bulbourethral (Cowper) glands and the (periurethral) glands of Litre, each producing 2-5% of the ejaculate volume, serving mainly to lubricate the urethra and to buffer the acidity of the residual urine.

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The elevated temperature hinders the maturation process of sperm, which develop best in an environment that is slightly cooler than body temperature. A variety of disorders ranging from hormonal disturbances to physical problems, to psychological problems can cause male infertility.  Although many treatment options are now available, in many cases treatment will not work.  In many instances, male infertility is caused by testicular damage resulting in an inability of the testicle to produce sperm.  Once damaged, the testicle will not usually regain its sperm-making capabilities; this aspect of male infertility is analogous to menopause (though not natural like menopause) for women and cannot usually be treated.  Despite medicine�s limited ability to treat male infertility, many successful treatment options are available for its many causes.  Besides testicular damage, the main causes of male infertility are low sperm production and poor sperm quality.   The Causes of Male Infertility Male infertility has many causes--from hormonal imbalances, to physical problems, to psychological and/or behavioral problems.  Moreover, fertility reflects a man�s �overall� health.  Men who live a healthy lifestyle are more likely to produce healthy sperm.  The following list highlights some lifestyle choices that negatively impact male fertility--it is not all-inclusive: · Smoking--significantly decreases both sperm count and sperm cell motility. · Prolonged use of marijuana and other recreational drugs. · Chronic alcohol abuse. · Anabolic steroid use--causes testicular shrinkage and infertility. · Overly intense exercise--produces high levels of adrenal steroid hormones which cause a    testosterone deficiency resulting in infertility. · Inadequate vitamin C and Zinc in the diet. · Tight underwear--increases scrotal temperature which results in decreased sperm production. · Exposure to environmental hazards and toxins such as pesticides, lead, paint, radiation, radioactive   substances, mercury,  benzene, boron, and heavy metals · Malnutrition and anemia. · Excessive stress! Retrograde ejaculation: Sperm can be taken directly from the bladder and injected into an egg in the laboratory.

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Further reading[edit] Fertility: Assessment and Treatment for People with Fertility Problems. These are both treatment options for microprolactinoma. Microscopic Vasectomy Reversal. (PDF, 31 MB) Fertility and Sterility, 1977.

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From that point onwards, there is a progressive decline up to the point when a woman reaches 37 years of age. A history of sexually transmitted infections could be another cause of infertility in either partner. Causes in men The following are common causes of infertility in men. Infertility rates have increased by 4% since the 1980s, mostly from problems with fecundity due to an increase in age.[72] Fertility problems affect one in seven couples in the UK. 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. Ovulation induction agents increase the risk of multiple pregnancy, ovarian hyperstimulation syndrome, and thrombosis, and they may increase the risk of ovarian cancer in women who remain nulliparous. This allows the physician to evaluate the woman for any pelvic disease, particularly endometriosis, which may interfere with conception. The urine specimen must be centrifuged immediately. In women, lead poisoning reduces conceptions and increases the risk of fetal wastage. 33 Use of antioxidants such as zinc, vitamin E, or l-carnitine showed increased live birth rates in three small randomized controlled trials in couples undergoing assisted reproductive technology. If the correction is not done, it may be harder for the sperm to get to the female's cervix. Fertility treatments for women Fertility drugs might be prescribed to regulate or induce ovulation. View Media Gallery Sperm next enter the vas deferens, a 30- to 35-cm muscular conduit of Wolffian duct origin.