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This test is usually performed in a radiology facility About 25% of all infertility is due to a tubal factor Laparoscopy This is a surgical procedure and should not be performed until the basic testing has been done on both partners. 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.

The Most Common Causes of Male Sterility There are several causes of male sterility, including: Abnormal sperm production Impaired delivery of sperm Testosterone deficiency Genetic defects Undescended testes Also, erectile dysfunction or low libido can make the process of procreation that much more difficult. Ovulation should be documented by serum progesterone level measurement at cycle day 21. Ovulation of the egg occurs approximately 2 weeks before the start of the next period.

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Certain medical conditions such as diabetes, thyroid disease and anemia may also affect fertility. Requirements for Male Fertility (Continued) The ability to transmit the spermatozoa to the female vagina is also important. The elevation in the temperature is indicative of ovulation. The Leydig cells in the testicles control the LH, and the cells build androgens. Varicocele: Surgically removing a varicose vein in the scrotum may help.

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Delayed conception and active and passive smoking. Once confirmed, the male partner is referred to a reproductive urologist, especially if the abnormality is severe.

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Signs of Potential Infertility in Men Infertility symptoms in men can be vague. The rising number of obese individuals may be due in part to an energy-rich diet as well as insufficient physical exercise.  In addition to other potential health risks, obesity can have a significant impact on male and female fertility. A high serum estradiol level (greater than 60 to 80 pg per mL [220 to 294 pmol per L]) in conjunction with a normal FSH level has also been associated with lower pregnancy rates. Hyperprolactinemia: If prolactin levels are high, and the woman is not pregnant or breastfeeding, it may affect ovulation and fertility. Histological dating of timed endometrial biopsy tissue is not related to fertility status. 8  A normal sample according to the 2010 World Health Organization (WHO) guidelines is described in Table 2.