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Various parameters are measured, such as ejaculate volume and sperm density, quality, motility, and morphology. Medications Testosterone replacement therapy, long-term anabolic steroid use, cancer medications (chemotherapy), certain antifungal medications, some ulcer drugs and certain other medications can impair sperm production and decrease male fertility.

Luciano AA, Peluso J, Koch EI, Maier D, Kuslis S, Davison E. WHAT'S THE DIFFERENCE BETWEEN PRIMARY AND SECONDARY STERILITY? After their release from the Sertoli cells into the lumen of the seminiferous tubules, the spermatids successively pass through the tubuli recti, rete testis, ductuli efferentes, and, finally, the epididymis (see image below). For example, a woman who has a 33-day cycle one month, a 31-day cycle the next, and a 35-day cycle after that, is probably having “normal” periods. The diagnostic charts, which may be photocopied, provide an unambiguous route to diagnosis of the underlying cause of infertility, whilst the text fully explains and describes the essential clinical tests. If a blockage is present, surgery may be necessary.

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Treatment of the cause: 24. Ovulation disorders: (Group I) - Weight gain if BMI less than 19. - pulsatile administration of gonadotrophin-releasing hormone or gonadotrophins with luteinising hormone activity to induce ovulation. Careful monitoring during treatment and pregnancy can help reduce the risk of complications.

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Small or firm testicles that feel "tight" may be another sign of hormone issues. PDF Articles by Decade: 1970s | 1980s | 1990s | 2000s | 2010s ARTICLES FROM THE 1970s Active Lupus Glomerulitis and Hematoxylin Bodies with Normal Urinalysis. (PDF, 5 MB) The Journal of Urology, 1971. Cervical mucus problems impairing conception may be treated with intrauterine insemination (IUI) or uterine instillation of specially prepared sperm. The Relationship of Abnormal Semen Parameters to Male Fertility. (PDF, 4 MB) Human Reproduction, 1989. The Disappearing Y Chromosome – “I Told You So!” (PDF, 266 KB) Human Reproduction, 1997.

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Isodicentric Y Chromosomes and Sex Disorders as Byproducts of Homologous Recombination that Maintains Palindromes. (PDF, 1 MB) Cell, 2009. Leydig cell function is impaired, and most patients are infertile due to primary testicular failure. Couples may decide to go ahead regardless if the desire to become pregnant is very strong. Semen quality Semen is initially a coagulum that liquefies in 5-25 minutes due to prostatic enzymes. Three main events necessary for pregnancy to occur are: Ovulation: the process by which the mature egg is released from one of the woman’s ovaries. Using this small amount of FSH, the patient generally develops 1-2 follicles, decreasing the risk for multiple pregnancy and eliminating the risk of ovarian hyperstimulation syndrome. Immediate surgery is needed and, sadly, the tube on that side will be lost. Causes of Female Infertility The following causes may lead to infertility in women: Pelvic inflammatory disease, which can lead to blocked or damaged fallopian tubes. Women with regular menstrual cycles are likely to be ovulating and should be offered serum progesterone testing at day 21 to confirm ovulation. The enzyme aromatase is responsible for this conversion, and is found primarily in adipose tissue. The stimulation of follicular maturation is continued with HMG or FSH.