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In patients with varicocele, there is insufficient evidence to suggest corrective surgery will increase live birth rates, despite improvement in semen analysis results. Acquired causes include tumor, infarction, radiation, infection, or granulomatous disease.

Teratozoospermia is when there are a large number of sperms with abnormal morphology. The use of Epididymal and Testicular Spermatozoa for Intracytoplasmic Sperm Injection: The Genetic Implications for Male Infertility. (PDF, 8 MB) Human Reproduction, 1995. Illegal drugs: Some women who use marijuana or cocaine may have fertility problems. Renal Transplantation Between Adults and Children. (PDF, 1 MB) Journal of the American Medical Association, 1974.

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Asthenozoospermia refers to reduced sperm motility. Evaluation of the Female Partner: Evidence of Ovulation (Continued) Progesterone test.

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One of the requirements for this procedure is that a woman should have at least 1 undamaged fallopian tube. The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001.

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Some suggest that the number of times a couple has intercourse should be reduced to increase sperm supply, but this is unlikely to make a difference. Full history taking of both partners usually denotes the underlying problem [17-23], (Appendix 1). Teratospermia is defined as less than 30% normal morphology, and the WHO lower reference limit (5th percentile) is 4%. Malformations are the primary organic causes of sterility. The presence of anti-sperm antibodies have been found in infertile men, and suppression of these antibodies with corticosteroid treatment has improved the semen quality and increased the rate of conception. Once the synechiae have been resected, leaving an intrauterine balloon for 7 days is advisable to prevent a recurrence of adhesions. Symptoms include: bloating constipation dark urine diarrhea nausea abdominal pain vomiting They are usually mild and easy to treat. Genetics of Male Infertility: Evolution of the X and Y Chromosome and Transmission of Male Infertility to Future Generations. (PDF, 10 MB) Chapter 5 from Essential IVF, 2004. Quantitative Analysis of Testicle Biopsy: Determination of Partial Obstruction and Prediction of Sperm Count after Surgery for Obstruction. (PDF, 4 MB) Fertility and Sterility, 1981. ARTs have made conception possible even for men with very low or abnormal sperm. Intra-uterine insemination for unexplained subfertility. Sperm or egg donation: If necessary, sperm or eggs can be received from a donor.