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549 KB Effect of Age on Male Fertility. (PDF, 5 MB) Chapter from textbook, Seminars in Reproductive Endocrinology, 1991. Diagnosis and Management of Hypogonadism, Infertility, and Impotence. (PDF, 13 MB) Chapter 22 of textbook,Male Reproductive Dysfunction, 1986. Only an additional 7% of couples will conceive in the second year. Povey AC, Clyma JA, McNamee R, et al.; Participating Centres of Chaps-UK. Testicular Sperm Extraction (TESE) and Intracytoplasmic Sperm Injection (ICSI) for Non-obstructive Azoospermia.(PDF, 1 MB) 10th World Congress on In Vitro Fertilization and Assisted Reproduction, 1997.

There are numerous conditions that can contribute to infertility in men and women. Bilateral anorchia (vanishing testes syndrome) Patients have a normal male karyotype (46, XY) but are born without testis bilaterally.

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Mutations in the Cystic Fibrosis Gene in Patients with Congenital Absence of the Vas Deferens. (PDF, 5 MB) New England Journal of Medicine, 1995. Factors effecting normal expectancy of conception. Infection: Some infections, such as gonorrhea or inflammation of the testicles, can affect sperm production or sperm health or can cause scarring that blocks the passage of sperm.

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Vasectomy and Vasectomy Reversal. (PDF, 7 MB) Fertility and Sterility, 1978. 42 Urinary luteinizing hormone kits indicate the midcycle luteinizing hormone surge that precedes ovulation by one to two days. In addition, if a man’s sperm do not move correctly, they may not be able to meet with and fertilize an egg. Medical conditions Some medical conditions can affect fertility. The Three-kidney Rat Model. (PDF, 2 MB) Investigative Urology, 1974.

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38,39 Family physicians may choose to attempt ovulation induction in anovulatory women (WHO group II) with clomiphene. Testicular Neoplasm in Father and Son. (PDF, 561 KB) The Journal of Urology, 1972. The corollary to this is that, by definition, failure to conceive in women under 35 isn't regarded with the same urgency as it is in those over 35. Polycystic ovary syndrome (PCOS): The ovaries function abnormally and ovulation may not occur. Exogenous testosterone should never be administered in an attempt to boost sperm production because it actually decreases intratesticular testosterone levels owing to feedback inhibition of GnRH release. Kidney Transplantation in Inbred Rats. (PDF, 6 MB) The American Journal of Surgery, 1973. 8) Unexplained/other: Sometimes a full evaluation does not reveal the cause of infertility. In the past, if the above methods didn’t work, it often meant lifelong male infertility. If he has two X chromosomes and one Y chromosome, as in Klinefelter's syndrome, the testicles will develop abnormally and there will be low testosterone and a low sperm count or no sperm. Tubal occlusion A tubal occlusion means there is a blockage in the fallopian tube. Up to 2 percent of men are thought to have suboptimal sperm.


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See also
Infertility Awareness Association of Canada
Infertility Clinics in South Africa
Infertility Treatment Rates in Us