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If your cycles are infrequent or irregular, your doctor will examine you and perform the appropriate testing to discover which problem you may have and present the appropriate treatment options. The doctor may ask about the couple's sexual habits and make recommendations regarding these. Epididymal and Testicular Spermatozoa and Intracytoplasmic Sperm Injection. (PDF, 7 MB) Assisted Reproduction Reviews, 1996.

Infertility is defined as a failure to conceive within one or more years of regular unprotected coitus. Hormonal Problems A small percentage of male infertility is caused by hormonal problems.  The hypothalamus-pituitary endocrine system regulates the chain of hormonal events that enables testes to produce and effectively disseminate sperm.  Several things can go wrong with the hypothalamus-pituitary endocrine system: · The brain can fail to release gonadotrophic-releasing hormone (GnRH) properly.  GnRH stimulates   the hormonal pathway that causes testosterone synthesis and sperm production.  A disruption in   GnRH release leads to a lack of testosterone and a cessation in sperm production. · The pituitary can fail to produce enough lutenizing hormone (LH) and follicle stimulating hormone   (FSH) to stimulate the testes and testosterone/sperm production.  LH and FSH are intermediates   in the hormonal pathway responsible for testosterone and sperm production. · The testes� Leydig cells may not produce testosterone in response to LH stimulation. · A male may produce other hormones and chemical compounds which interfere with the   sex-hormone balance.

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Careful monitoring during treatment and pregnancy can help reduce the risk of complications. Orchitis The most common cause of acquired testicular failure in adults is viral orchitis, such as that caused by the mumps virus, echovirus, or group B arbovirus. Nonliquefication of the semen can be differentiated from benign hyperviscosity by a normal postcoital test finding. Microscopic Vasectomy Reversal 30 Years Later: A Summary of 4010 Cases by the Same Surgeon. (PDF, 295 KB)Journal of Andrology, 2004. Laparotomy with histopathology is usually indicated, because medical attempts at inducing ovulation (human chorionic gonadotropin, FSH, GnRH) are usually unrewarding.

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Even if you choose not to have your activity tracked by third parties for advertising services, you will still see non-personalized ads on our site. Sertoli Cell only Revisited. (PDF, 1 MB) Human Reproduction, 1995. What Forms of Male Infertility are there left to Cure? (PDF, 2 MB) Human Reproduction, 1995.

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Chromosomal Abnormalities in Embryos Derived from Testicular Sperm Extraction. (PDF, 324 KB) Fertility and Sterility, 2003. Algorithm for infertility evaluation. (ART = assisted reproductive technology.) Infertility Evaluation Figure 1. Charting of the menstrual cycle may be done by hand, or with the aid of various fertility monitors. Testicular Neoplasm in Father and Son. (PDF, 561 KB) The Journal of Urology, 1972. Allied and Complementary Medicine Database (AMED), ... One of the best known is the HFEA – The UK's regulator for fertility treatment and embryo research. The predictable pregnancy rate for this group is about 5% after timed intercourse, 10% after superovulation with intrauterine insemination (IUI), and 15% to 25% after assisted reproduction techniques (ART) [41]. Ovulation disorders can be treated with ovulation-inducing drugs. Female age of 35 years or older: For unclear reasons, egg numbers decrease at a rapid rate as women age. Semen analysis – The semen analysis is the main test to evaluate the male partner. The vas deferens carries sperm from the epididymis to the ejaculatory duct and the urethra. At this point, psychological consultation and support should be provided [44]. Most of the time, basic semen analysis is all that's needed to diagnose male infertility. Evaluation may be initiated sooner in patients who have risk factors for infertility or if the female partner is older than 35 years.