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Chemotherapy: Some types may significantly reduce sperm count. Through this technique, your physician can diagnose abnormalities such as fibroids or polyps within the uterine cavity, and via narrow instruments that run through the hysterosope, can remove or correct the great majority of these abnormalities. Simultaneous Treatment of the Wife in Infertile Couples with Oligospermia. (PDF, 4 MB) Fertility and Sterility, 1983.

The resulting sperm count (also called spermiogram) allows identifying various pathologies. Ultrastructure of Human Sperm in Men with Congenital Absence of the Vas Deferens: Clinical Implications. (PDF, 2 MB) Fertility and Sterility, 1992. Ross says it might suggest a blockage in the “plumbing” that can be corrected with surgery. This diagnosis is therefore shared by 15% of couples attempting to conceive. Omitting unnecessary investigations, in particular couples, could reduce total cost of their infertility management without compromising their success rate.

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Moderate alcohol consumption has not been shown to lower fertility in most men, but it may affect those who already have a low sperm count. Ovarian dysfunction, when a woman’s ovaries are not producing eggs, or egg production has diminished due to hormonal imbalance, age or other factors. Although the XXY pattern is observed in the spermatogonia and primary spermatocytes, many of the secondary spermatocytes and spermatids have normal patterns. It is very important that these injuries be recognized as early as possible.[26] Some patients have sustained electrical burns unseen by surgeons who are working with electrodes that leak current into surrounding tissue. The doctor may ask about the couple's sexual habits and make recommendations regarding these. Conventional IVF vs ICSI (Intra Cytoplasmic Sperm Injection) for Patients Requiring Microsurgical Epididymal Sperm Aspiration (MESA). (PDF, 4 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994.

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Problems in the uterus or fallopian tubes can prevent the egg from traveling from the ovary to the uterus, or womb. Male fertility starts declining in their thirties, while women older than 35 years may experience problems conceiving. Infertility: Female and Male Factors It is very important to note that infertility can occur as a result of one or more male or female factors.

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Treatment of the cause: 25. Ovulation disorders: (Group II “PCO”) 1. 6,28 Additionally, postcoital testing of cervical mucus is no longer recommended because it does not affect clinical management or predict the inability to conceive. It can also help if a man has severe erectile dysfunction. Instruments can be introduced through the hysteroscope, allowing the surgeon to remove or correct any anatomic abnormalities. 8-Mb Deletion in the Azoospermia Factor c Region. (PDF, 332 KB) Genomics, 2004. The physician or WHNP may also suggest using a conception cap cervical cap, which the patient uses at home by placing the sperm inside the cap and putting the conception device on the cervix, or intrauterine insemination (IUI), in which the doctor or WHNP introduces sperm into the uterus during ovulation, via a catheter. The severity usually depends on how near to the testicles the radiation was aimed. Financing fertility treatment can also be costly, but there are programs that can help with this.Introduction Over their lifetimes, approximately one in every five couples in the United States seeks infertility care.  Surprisingly, only half of couples who are trying to become pregnant achieve pregnancy easily and about one in ten American couples of reproductive age are involuntary infertile; male infertility accounts for half of these cases.  Despite the relative importance of infertility due to the male, infertility evaluations have traditionally focused on women, because women tend to seek gynecological care and because men often are reluctant to seek advice. Abundant Gene Conversion Between Arms of Palindromes in Human and Ape Y Chromosomes. (PDF, 340 KB)Nature, 2003.