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It is further sub-divided into primary and secondary sterility. Sertoli-cell-only syndrome (germinal cell aplasia) Patients with germinal cell aplasia have LH and testosterone levels within the reference range but have an increased FSH level. For intrauterine insemination, in vitro fertilization, and intracytoplasmic sperm injection procedures, the removal of certain components of the ejaculate (ie, seminal fluid, excess cellular debris, leukocytes, morphologically abnormal sperm) with the retention of the motile fraction of sperm is desirable.

Controversies in OB/GYN: Is Varicocelectomy Useful for Treatment of Male-factor Infertility? (PDF, 4 MB)Contemporary OB/GYN, 2001. Spermiogenic defects may also be a cause of sterility.

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If the E2 and FSH levels are in the normal range, clomiphene citrate is the drug of choice, as previously described. In humans, infertility is the inability to become pregnant after one year of intercourse without contraception involving a male and female partner.[2] There are many causes of infertility, including some that medical intervention can treat.[3] Estimates from 1997 suggest that worldwide about five percent of all heterosexual couples have an unresolved problem with infertility. Veltman-Verhulst SM, Cohlen BJ, Hughes E, Heineman MJ. To verify azoospermia, the semen should be centrifuged and evaluated under a light microscope for the presence of sperm.

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Exposure to some chemicals: Some pesticides, herbicides, metals, such as lead, and solvents have been linked to fertility problems in both men and women. Factors that Contribute to Sterility There are many factors that contribute to sterility such as age, lifestyle, physical, and environmental conditions. Obese women have a higher rate of recurrent, early miscarriage compared to non-obese women. Infertility tests for men The doctor will ask the man about his medical history, medications, and sexual habits and carry out a physical examination. The number of days in between each period varies each month. The Effect of Female Age and Ovarian Reserve on Pregnancy Rate in Male Infertility: Treatment of Azoospermia with Sperm Retrieval and Intracytoplasmic Sperm Injection. (PDF, 66 KB) Human Reproduction, 1997.

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Patients should undergo an MRI or CT scan of the sella turcica for diagnostic purposes to determine whether a microprolactinoma or a macroprolactinoma is present. If the woman is aged over 35 years, the couple may wish to see a doctor earlier, because fertility testing can take time, and female fertility starts to drop when a woman is in her 30s. Medical treatments[edit] Medical treatment of infertility generally involves the use of fertility medication, medical device, surgery, or a combination of the following. Medical treatments[edit] Medical treatment of infertility generally involves the use of fertility medication, medical device, surgery, or a combination of the following. RE: The Impalpable Testis: A Rational Approach to Management. (PDF, 389 KB) The Journal of Urology, 1979. Retrograde Ejaculation: Is a condition in which semen is ejaculated into the bladder rather than out through the urethra because the bladder sphincter does not close during ejaculation.  If this disorder is present, ejaculate volume is small and urine may be cloudy after ejaculation.  This condition affects 1. In fact, the “window of opportunity” for fertilization is thought to last only a few hours, thus requiring sperm availability in the female genital tract at or shortly before ovulation. Endometriosis may be treated through laparoscopic surgery.