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The FAST study: fertility assessment and advice targeting lifestyle choices and behaviours: a pilot study. The vas deferens carries sperm from the epididymis to the ejaculatory duct and the urethra. Surgery for epididymal blockage: A blocked epididymis can be surgically repaired.

The incidence varies in different populations, in some areas approaching 40%. If the epididymis is blocked, sperm may not be ejaculated properly. Thus women whose pregnancy spontaneously miscarries, or whose pregnancy results in a still born child, without ever having had a live birth would present with primarily infertility. (Trends in prevalence4). Kidney Transplantation in Inbred Rats. (PDF, 6 MB) The American Journal of Surgery, 1973.

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Illegal drugs: Consumption of marijuana and cocaine can lower the sperm count. Conventional In-vitro Fertilization vs Intracytoplasmic Sperm Injection for Patients Requiring Microsurgical Sperm Aspiration. (PDF, 3 MB) Human Reproduction, 1994. Hysterosalpingography: Fluid is injected into the woman's uterus and X-rays are taken to determine whether the fluid travels properly out of the uterus and into the fallopian tubes. The most common disorders impacting ovulation include polycystic ovary syndrome (PCOS), hypogonadotropic hypogonadism (from signaling problems in the brain), and ovarian insufficiency (from problems of the ovary). If abundant good sperm are found in the testicle, there's likely a blockage somewhere.

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Noonan syndrome (46, XY) Patients with Noonan syndrome, also known as male Turner syndrome, have physical characteristics similar to that of women with Turner syndrome (45, X). Only an additional 7% of couples will conceive in the second year. The Avon Longitudinal Study of Pregnancy and Childhood Study Team. Several studies have reported different causes of infertility [7-9].

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Estimating the prevalence of infertility in Canada [published correction appears in Hum Reprod. Women who have a body weight 10% to 15% below normal may have reduced fertility. A prolactin level of more than 150 mcg/L suggests a pituitary adenoma, while levels greater than 300 mcg/L are nearly diagnostic. Nonfunctional pituitary tumors may compress the pituitary stalk or the gonadotropic cells, interrupting the proper chain of signals leading to pituitary failure. Tubal occlusion A tubal occlusion means there is a blockage in the fallopian tube. 22 Treatment of Male Infertility Jump to section + Underlying etiology determines the therapeutic course, although male infertility is unexplained in 40% to 50% of cases. Healthcare providers may also conduct a semen analysis to check the number, shape, and movement of sperm. Follicle-stimulating hormone (Gonal-F, Bravelle): This hormone is produced by the pituitary gland that controls estrogen production by the ovaries. 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. Often, varicoceles or past infections such as mumps orchitis are the cause of sterility. Histologic endometrial dating is not considered reliable nor is it predictive of fertility. Endometriosis causes infertility by producing inflammation and scarring, which can result in not only pain but also potentially detrimental effects on egg, sperm or embryo. When Predictions Don’t Predict. (PDF, 549 KB) The Australian and New Zealand Journal of Obstetrics and Gynaecology, 1991.