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Undescended testicle may be isolated or may be observed as part of a syndrome such as prune belly syndrome. Fertility treatments for women Fertility drugs might be prescribed to regulate or induce ovulation. Key to the diagnosis of male infertility is a semen analysis, which assesses primarily sperm numbers, sperm movement and sperm form.

It may come as a surprise if you’ve spent most of your adult life trying to avoid it, but conceiving is actually a lot harder than you may expect. Erectile dysfunction or premature ejaculation: Medication, behavioral approaches, or both may help improve fertility. 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. Mental stress: Stress can be a factor, especially if it leads to reduced sexual activity. 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. Treatment of the Normal Infertile Couple The prognosis for the normal infertile couple is poor and unpredictable.

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Diagnosis Most people will visit a physician if there is no pregnancy after 12 months of trying. In cases when the quality of sperm is very poor, or sperm is completely absent in the ejaculate (azoospermia), donor’s sperm can be used (if culturally acceptable). 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. The results of these tests help determine the best fertility treatment.

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Testosterone and multiple hormones made in the brain control sperm production. Endocrine tests to check concentrations of the hormones testosterone, FSH and LH.

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Alternatively, the patient may bypass surgical treatment and proceed directly to intrauterine insemination or in vitro fertilization, depending on the severity and the female partner's age. Options include intrauterine insemination (also known as IUI) or IVF with intracytoplasmic sperm injection (also known as ICSI). The seminal vesicles provide 40-80% of the semen volume, which includes fructose for sperm nutrition, prostaglandins and other coagulating substances, and bicarbonate to buffer the acidic vaginal vault. Article Sections Infertility is defined as the inability to achieve pregnancy after one year of regular, unprotected intercourse. If this is unsuccessful, the dosage may be increased to 100 mg daily.