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These include: Infrequent menstrual periods: When a woman has regular menstrual periods, defined as regular cycles occurring every 21 to 35 days, this almost always indicates that she ovulates regularly. Oligozoospermia refers to a low sperm count under 20 million per milliliter. A penile exam should detect atrophy, tumors, epididymal cysts, cryptorchidism (undescended testicles), vas thickening or absence of the vas deferens, hydrocele (fluid accumulation in the testis or along the spermatic cord) or varicocele. Practice Committee of the American Society for Reproductive Medicine. Through this technique, your physician can diagnose abnormalities such as fibroids or polyps within the uterine cavity, and via narrow instruments that run through the hysterosope, can remove or correct the great majority of these abnormalities.

Low testosterone (male hypogonadism) and other hormonal problems have a number of possible underlying causes. The AZFc Region of the Y Chromosome Features Massive Palindromes and Uniform Recurrent Deletions in Infertile Men. (PDF, 5 MB) Nature Genetics, 2001. Types of Infertility There are two types of infertility: primary and secondary.

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Malformation of the eggs themselves may complicate conception. Testosterone is secreted in a diurnal pattern, peaking a few hours after the man awakens from sleep. Abnormalities of sperm may be treated with gonadotropin therapy, intrauterine insemination, or in vitro fertilization.

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ICSI with Epididymal and Testicular Sperm in Azoospermic Men. (PDF, 2 MB) From Treatment of Infertility: The New Frontiers, 1998. Transvaginal ultrasound – Ultrasound is an important tool in evaluating the structure of the uterus, tubes, and ovaries.

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This is an uncommon type of anovulation disorder. Other causes of infertility affecting both partners include immunological incompatibility between sperm and the cervical mucus, which may in some instances cause sperm agglutination. The fluid comes from the prostate gland, the seminal vesicle, and other sex glands. If the epididymis is blocked, sperm may not be ejaculated properly. If you and your partner agree, extra embryos can be frozen and saved to use later. Pregnancy with Sperm Aspiration from the Proximal Head of the Epididymis: A New Treatment for Congenital Absence of the Vas Deferens. (PDF, 2 MB) Fertility and Sterility, 1988. Hystersalpingography (HSG): Further investigations 17. Investigation of suspected tubal and uterine abnormalities: 2. Chromosomal defects Hereditary disorders, such as Klinefelter’s syndrome (when a male is born with two X chromosomes and one Y chromosome instead of one X and one Y) impacts the normal development of the male reproductive organs. Practice Committee of American Society for Reproductive Medicine in collaboration with Society for Reproductive Endocrinology and Infertility. Assessment of efficacy of varicocele repair for male subfertility: a systematic review. Men should undergo evaluation with a semen analysis. The mammary glands are also controlled by the pituitary gland, so lactation can also be affected. 3) Tubal occlusion (blockage): As discussed previously, a history of sexually transmitted infections including chlamydia, gonorrhea, or pelvic inflammatory disease can predispose a woman to having blocked fallopian tubes.