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Erectile Disfunction (ED): Also known as impotence, this condition is common and affects 20 million American men.  ED is the result of a single, or more commonly a combination of multiple factors.  In the past, ED was thought to be the result of psychological problems, but new research indicates that 90 percent of cases are organic in nature.  However, most men who suffer from ED have a secondary psychological problem that can worsen the situation like performance anxiety, guilt, and low self-esteem.  Many of the common causes of impotence include:  diabetes, high blood pressure, heart and vascular disease, stress, hormone problems, pelvic surgery, trauma, venous leak, and the side effects of frequently prescribed medications (i.e. 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. Judaism and Reproductive Technology. (PDF, 2 MB) 2010.

Microsurgery for Vasectomy Reversal and Vasoepididymostomy. (PDF, 13 MB) Urology, 1984. GIFT (gamete intrafallopian tube transfer) and ZIFT (zygote intrafallopian transfer).  Like IVF, these procedures involve retrieving an egg, combining it with sperm in a lab, and then transferring it back to your body. About one out of every three cases of infertility is due to the man alone, and we're somehow involved in infertility about half the time. Infertility in men Semen and sperm The most common cause of infertility in men is poor-quality semen, the fluid containing sperm that's ejaculated during sex. Smoking: Smoking significantly increases the risk of infertility in both men and women, and it may undermine the effects of fertility treatment.

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There is a consistent association of Mycoplasma genitalium infection and female reproductive tract syndromes. Female and male factors are equally responsible for infertility, about 30% to 40% each, and in 20% of the cases, there is a combination of both. Ejaculatory Incompetence: This rare psychological condition prevents men from ejaculating during sexual intercourse even though they can ejaculate normally through masturbation.  This condition sometimes responds well to behavioral therapy; if this technique does not work, artificial insemination can be employed using an ejaculate from masturbation.Continued Hysteroscopy . In this procedure, your doctor places a hysteroscope into your uterus through your cervix. It is often defined as not conceiving after 12 months of regular sexual intercourse without the use of birth control. Today, assisted reproductive techniques (ARTs) offer powerful new options.

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Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989. Female factor infertility is typically to blame 40 percent of the time, while male factor infertility is the cause of issues 30 to 40 percent of the time.

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Low sperm mobility (motility): The sperm cannot "swim" as well as they should to reach the egg. Most of infertile couples are aware of what can be offered to them from the media. Surgery for epididymal blockage: A blocked epididymis can be surgically repaired. Irregular ovulation can be due to many issues, including polycystic ovary syndrome (PCOS), obesity, being underweight, and thyroid issues. Paternal age > or = 40 years: an important risk factor for infertility. They can also carry out some basic tests on both partners to see if there is an identifiable reason for not having achieved a pregnancy. Only 5-10% of these couples eventually achieve a pregnancy within 5 years.


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