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In women whose ovulation is suppressed by hyperprolactinemia (high blood levels of the pituitary hormone prolactin), ovulation may be induced with prolactin-suppressing drugs. Up to 2 percent of men are thought to have suboptimal sperm. Surprisingly, most patients have normal libido, erections, and orgasms, so testosterone therapy has only a limited role; exogenous testosterone may also suppress any underlying sperm production. During the first two years after menarche 50% of the menstrual cycles could be anovulatories. A complete pelvic exam should reveal any uterine hypoplasia, fibroids, adnexal tumors or cervical lesions and should indicate whether dyspareunia may be a problem.

If fertilization occurs, the developing embryos remain in the fallopian tube and then move to the uterus for the natural implantation process to be completed. Sulfasalazine: This anti-inflammatory drug can significantly lower a man's sperm count. Electric or vibratory stimulation to achieve ejaculation: Ejaculation is achieved with electric or vibratory stimulation.

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A frequency of intercourse less than once per week results in a probability of conception of about 17% within 6 months. Assessment of efficacy of varicocele repair for male subfertility: a systematic review. A sperm count of under 15 million is considered low. Compensatory and Obligatory Renal Growth in Rats. (PDF, 1 MB) American Journal of Physiology, 1974. In addition to stimulation by FSH, Sertoli cell function is modulated by intratesticular testosterone and signals from peritubular myoid cells.

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Clean, Intermittent Self-catheterization in the Treatment of Urinary Tract Disease. (PDF, 2 MB) The Journal of Urology, 1972. Diagnostic evaluation of the infertile female: a committee opinion.

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In some patients, secondary sex characteristics develop normally, but they are usually completed late. The Treatment of Azoospermia with Surgery and ICSI. (PDF, 4 MB) Chapter 10 from Male Fertility & Infertility, 1998. Not being able to father a child can make a guy feel like he’s failing at one of his most primal responsibilities. Overheated testicles: Causes include an undescended testicle, a varicocele, or varicose vein in the scrotum, the use of saunas or hot tubs, wearing tight clothes, and working in hot environments. This pill generally is taken from menstrual cycle days 3 – 7.