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Microsurgery Successful in Vasectomy Reversals. (PDF, 156 KB) The New York Times, 1975. Any of the following can cause a man to have a low sperm count or abnormal sperm: Varicocele — an abnormal collection of bulging veins above the testicle; they’re the most common cause of correctable male infertility, accounting for 38% of cases Undescended testicle Infections in the testicle (orchitis), the prostate (prostatitis), or elsewhere in the body that causes a fever Chemotherapy for cancer Medicines such as anabolic steroids or anti-seizure medicines Genetic abnormalities Hormone problems In some cases, these problems can be reversed, but other times they can’t. Endometriosis: Cells that normally occur within the lining of the uterus start growing elsewhere in the body. Hypospadias: The urethral opening is under the penis, instead of its tip. Uterine synechiae development is a potential complication after the surgery; therefore, a postoperative HSG should be part of follow-up care.

But as it turns out, we men don't get off that easily. If necessary, they refer patients to a fertility clinic or local hospital for more specialized tests.

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Other hormones including inhibin B and leptin, may also be affected by obesity. Previous pelvic surgeries involving the fallopian tubes can also increase your chances of infertility. One-third of couples will discover fertility problems in only the woman. Your doctor may suggest that you take gonadotropin if you have unexplained infertility or when other kinds of treatment haven't helped you get pregnant. Intrauterine insemination. For this procedure, after semen gets rinsed with a special solution, a doctor places it into your uterus when you're ovulating.

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Infertility, on the other hand, is the inability to successfully carry a baby to term and give birth; i.e., conception is feasible but the pregnancy cannot be completed. Unlike women, whose fertility significantly declines after the age of 35, men’s fertility doesn’t decline until they are much older. Effect of metformin on ovulation and reproductive outcomes in women with polycystic ovary syndrome: a meta-analysis of randomized controlled trials.

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Varicoceles are repaired with surgery to block off the abnormal veins. Clomiphene citrate (Clomid, Serophene) The chemical formula for clomiphene citrate (CC) is 2-[p -(2-chloro-1,2-difhenylvinyl) phenoxy] triethylamine dihydrogen citrate. 8  A normal sample according to the 2010 World Health Organization (WHO) guidelines is described in Table 2. The authors of the new global standards said the revised definition gave every individual “the right to reproduce.” Until now, the WHO’s definition of infertility—which it classed as a disability—has been the failure to achieve pregnancy after 12 months or more of regular unprotected sex. Fertilizing Capacity of Epididymal and Testicular Sperm with ICSI. (PDF, 5 MB) Frontiers in Endocrinology, 1995. Microsurgical Reversal of Tubal Sterilization: Factors Affecting Pregnancy Rate, with Long-term Follow-up. (PDF, 2 MB) Obstetrics & Gynecology, 1984. For this reason, a call for low-cost ART protocols have been attempt to reduce the overall current cost of IVF through limiting the rquired laboratory investigations, modifying the stimulation regimen and purchasing low-priced pre-used machines and instruments [35]. Human male infertility, the Y chromosome, and dinosaur extinction. (PDF, 1 MB) Middle East Fertility Society Journal, January 18, 2011.Fertility Articles – PDF Archive | Infertility Center If you have any questions, you may call us at  (314) 576-1400.