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Infection and Disease: Mumps, tuberculosis, brucellosis, gonorrhea, typhoid, influenza, smallpox, and syphilis can cause testicular atrophy.  A low sperm count and low sperm motility are indicators of this condition.  Also, elevated FSH levels and other hormonal problems are indicative of testicular damage.  Some STDs like gonorrhea and chlamydia can cause infertility by blocking the epididimis or tubes.  These conditions are usually treated by hormonal replacement therapy and surgery in the case of tubular blockage. Classic Klinefelter syndrome has a 47, XXY karyotype and is caused by a nondisjunction during the first meiotic division, more commonly of maternal origin; mosaic forms are due to nondisjunction following fertilization. Combined infertility[edit] In some cases, both the man and woman may be infertile or sub-fertile, and the couple's infertility arises from the combination of these conditions. Testis Biopsy and the Infertile Male. (PDF, 20 MB) Chapter 15 from textbook Office Andrology, 2005. The severity usually depends on how near to the testicles the radiation was aimed. Chromosomal Abnormalities in Embryos Derived from Testicular Sperm Extraction. (PDF, 324 KB) Fertility and Sterility, 2003.

Egg donation. This can help you if you have ovaries that don't work right but you have a normal uterus. It is specially oriented for cancer patients, whose sperm is destroyed due to the gonadotoxic treatment they are submitted to.[70] Ovaric stem cells: it is thought that women have a finite number of follicles from the very beginning.

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The urine specimen must be centrifuged immediately. Do you have a family history of medical problems? Tubal occlusion A tubal occlusion means there is a blockage in the fallopian tube.

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Problems with ejaculation or ejaculate Having difficulty ejaculating or noticing changes in the ejaculate, such as a drop in volume, may also be a sign of an underlying issue related to a man's fertility. Over one million cholecystectomies are performed in the U. There are numerous conditions that can contribute to infertility in men and women. Tourism[edit] Fertility tourism is the practice of traveling to another country for fertility treatments.[68] It may be regarded as a form of medical tourism. The most common identifiable causes of female fertility problems are outlined below: • Ovulatory dysfunction, (or anovulation) where an egg is not released from the ovary every month, is the single most common cause of female infertility.

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Testicular histology typically reveals a decreased number of Leydig cells and decreased spermatogenesis. ART techniques generally start with stimulating the ovaries to increase egg production. Ovulation induction agents increase the risk of multiple pregnancy, ovarian hyperstimulation syndrome, and thrombosis, and they may increase the risk of ovarian cancer in women who remain nulliparous. Anabolic steroids: Popular with bodybuilders and athletes, long-term use can seriously reduce sperm count and mobility. They can be blocked due to numerous causes, including infections,  trauma or abnormal development, such as with cystic fibrosis or similar inherited conditions. Low testosterone (male hypogonadism) and other hormonal problems have a number of possible underlying causes. In patients with obstructive azoospermia and normal gonadotropin levels, sperm can be obtained through microsurgical epididymal sperm aspiration or testicular biopsy. [213] Fertilization of the oocytes is performed using IVF/intracytoplasmic sperm injection. Renal Echinococcus. (PDF, 1 MB) The Journal of Urology, 1972. Radiation therapy: If this is aimed near the reproductive organs, it can increase the risk of fertility problems. Blood test: This can assess hormone levels and whether a woman is ovulating. Sperm counts can fluctuate, so that several samples may be necessary.