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A low testosterone level with a low FSH level signals a secondary cause. Helping our patients develop a deep understanding of their fertility options will make the process smoother.

Tumors Cancers and nonmalignant tumors can affect the male reproductive organs directly, through the glands that release hormones related to reproduction, such as the pituitary gland, or through unknown causes. Mental stress: Stress can be a factor, especially if it leads to reduced sexual activity.

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Chlamydia test: Chlamydia can affect fertility, but antibiotics can treat it. Infection: Some infections, such as gonorrhea or inflammation of the testicles, can affect sperm production or sperm health or can cause scarring that blocks the passage of sperm.

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4 mL and an increase in sperm density by 10-15 million sperm/mL, for up to 7 days. Role of Semen Analysis in Subfertile Couples. (PDF, 250 KB) Fertility and Sterility, 2010. The prostate also secretes zinc, phospholipids, phosphatase, and spermine. Understanding the normal reproductive process is essential in knowing when to seek help.

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Whether interventions before conception or early in pregnancy, such as resection of the rudimentary horn and prophylactic cervical cerclage, decidedly improve obstetrical outcomes is uncertain; however, current practice suggests that such interventions may be helpful. Women in group III can conceive only with oocyte donation and in vitro fertilization. Intrauterine insemination 33. Consider unstimulated intrauterine insemination as a treatment option in the following groups as an alternative to vaginal sexual intercourse: - people who are unable to, or would find it very difficult to, have vaginal intercourse - people with conditions that require specific consideration in relation to methods of conception (for example, after sperm washing where the man is HIV positive) - people in same-sex relationships Do not offer IUI for people with unexplained infertility, mild endometriosis or mild male factor. Always take in consideration the ages of the couple. 8,26,27 As opposed to laparoscopy or hysteroscopy, hysterosalpingography is a minimally invasive procedure with potentially therapeutic effects and should be considered before more invasive methods of assessing tubal patency. Unlike IVF, in which actual fertilization is observed and confirmed in the laboratory, GIFT does not allow visual confirmation of fertilization. If this is unsuccessful, the dosage may be increased to 100 mg daily. An estimated 28% of all couples seeking reproductive assistance may have normal findings on their clinical evaluation, making the unexplained infertility a more common provisional diagnosis. A doctor or WHNP takes a medical history and gives a physical examination.