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Treatment of Male-factor Infertility. (PDF, 10 MB) Chapter 9 from Progress in Infertility, 1993. Genetic tests can identify specific obstacles to fertility and problems with sperm. Compensatory and Obligatory Renal Growth in Rats. (PDF, 1 MB) American Journal of Physiology, 1974. Several days later, embryos -- or fertilized eggs -- get put back into your uterus with a device called an intrauterine insemination catheter. Inhibin B levels have been reported to decrease with increasing weight, which results in decreased Sertoli cells and sperm production. This averts normal ascension and motility of the sperm.

Allocation of medical resources that could be used elsewhere The legal status of embryos fertilized in vitro and not transferred in vivo. (See also beginning of pregnancy controversy). Problems in the uterus or fallopian tubes can prevent the egg from traveling from the ovary to the uterus, or womb. 8 Evaluation of Men Jump to section + Causes of male infertility include infection, injury, toxin exposures, anatomic variances, chromosomal abnormalities, systemic diseases, and sperm antibodies.

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Low sperm mobility (motility): The sperm cannot "swim" as well as they should to reach the egg. The use of Epididymal and Testicular Sperm for ICSI. (PDF, 1 MB) From IX World Congress on In Vitro Fertilization and Alternated Assisted Reproduction, 1995. Other causes include Y chromosome microdeletion, a depletion of chromosome material that impedes or severely decreases spermatozoa production. They can interfere with implantation or block the fallopian tube, preventing sperm from fertilizing the egg. Also, parotitis o mumps associated with male infertility when it happens during adolescence. Is Congenital Bilateral Absence of Vas Deferens a Primary Form of Cystic Fibrosis?

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Careful monitoring during treatment and pregnancy can help reduce the risk of complications. The testicles will be checked for lumps or deformities, and the shape and structure of the penis will be examined for abnormalities. 6 The initial history should cover menstrual history, timing and frequency of intercourse, previous use of contraception, previous pregnancies and outcomes, pelvic infections, medication use, occupational exposures, substance abuse, alcohol intake, tobacco use, and previous surgery on reproductive organs. Couples will have to consider the ethical and emotional aspects of this procedure.

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Ejaculation disorders: If the ejaculatory ducts are blocked, semen may be ejaculated into the bladder Hormonal imbalance: Hypogonadism, for example, can lead to a testosterone deficiency. Medical management: - Men with hypogonadotrophic hypogonadism should be offered gonadotrophin drugs. - Men with idiopathic semen abnormalities should not be offered anti-oestrogens, gonadotrophins, androgens, bromocriptine or kinin-enhancing drugs. If the urinary output remains low, albumin 25% (50 mL/h IV for 4 h) has been effective in promoting diuresis. Testosterone and multiple hormones made in the brain control sperm production. Laparoscopy: A thin, flexible tube with a camera at the end is inserted into the abdomen and pelvis, allowing a doctor to look at the fallopian tubes, uterus, and ovaries. Changes in sexual desire A man’s fertility is also linked with his hormone health. Cortical deficiency may be seen in patients with adrenal failure due to infection, infarction, or congenital adrenal hyperplasia (CAH). 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. Small calculi may block the ejaculatory ducts, or prostatic cysts may extrinsically block the ducts.