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Fertilizing Capacity of Epididymal and Testicular Sperm using Intracytoplasmic Sperm Injection (ICSI). (PDF, 7 MB)Reproduction, Fertility and Development, 1995. The couple should make sure to have sex during the three days before ovulation. Understanding the normal reproductive process is essential in knowing when to seek help.

Although many of these can be treated through surgery or hormonal substitutions, some may be indefinite.[59] Infertility associated with viable, but immotile sperm may be caused by primary ciliary dyskinesia. 549 KB Effect of Age on Male Fertility. (PDF, 5 MB) Chapter from textbook, Seminars in Reproductive Endocrinology, 1991.

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Infertility tests for men The doctor will ask the man about his medical history, medications, and sexual habits and carry out a physical examination. However, a survey has suggested that the 3 days most likely to offer a fertile window are the 2 days before ovulation plus the 1 day of ovulation.

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Most of infertile couples are aware of what can be offered to them from the media. The typical indication is the oligoasthenoteratozoospermia here. A Modern View of Male Infertility. (PDF, 7 MB) From The Infertile Male: Advanced Assisted Reproductive Technology, 1994. Patients are often short, with small firm testis and gynecomastia, but they have a normal-sized penis. Inhibin B levels have been reported to decrease with increasing weight, which results in decreased Sertoli cells and sperm production. Spermatid Conception. (PDF, 1 MB) Human Reproduction, 1998.

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This technique involves an injection of a single healthy sperm directly injected into mature egg. The main symptom of infertility is not getting pregnant. Microsurgery for the Undescended Testicle. (PDF, 5 MB) Urologic Clinics of North America, 1982. The feelings experienced by the infertile couples include depression, grief, guilt, shame, and inadequacy with social isolation. The rising number of obese individuals may be due in part to an energy-rich diet as well as insufficient physical exercise.  In addition to other potential health risks, obesity can have a significant impact on male and female fertility. The Male-specific Region of the Human Y Chromsome is a Mosaic of Discrete Sequence Classes. (PDF, 754 KB) Nature, 2003. Also searched were the Cochrane database, the National Guideline Clearinghouse database, Dynamed, and Essential Evidence Plus. Bromocriptine is used in cases when anovulation is caused by an elevated level of the hormone prolactin. For example, high cortisol levels are seen in patients with Cushing syndrome, which causes negative feedback on the pituitary to decrease LH release. Drugs used for both women and men[67] include clomiphene citrate, human menopausal gonadotropin (hMG), follicle-stimulating hormone (FSH), human chorionic gonadotropin (hCG), gonadotropin-releasing hormone (GnRH) analogues, aromatase inhibitors, and metformin. Cervical factors are also thought to play a minor role, although they are rarely the sole cause. An extensive work-up showed Steve was born without the vas deferens, the main sperm pipelines from the testicles. In this case synthetic FSH by injection or Clomid (Clomiphene citrate) via a pill can be given to stimulate follicles to mature in the ovaries.