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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. Mumps, leading to orchitis (testicular inflammation), may cause secondary testicular atrophy in the small number of men infected after puberty. Also possible is increased body mass and facial hair, which is relatively easy to treat, and is often associated with PCOS, or polycystic ovary syndrome.

Once a diagnosis has been made, you and your partner can consider the various treatment options. If you’re concerned, it’s important to consult with your doctor.

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These patients are often tall and severely oligospermic or azoospermic. Absence of mastodynia (breast pain or tenderness) occurs in about 20% of women with ovulatory problems.

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Especially in men, psychological explanations should be considered as they are frequently the cause of sexual dysfunctions. ARTICLES FROM THE 1990s Microsurgery, Andrology, and Its Role in IVF. (PDF, 6 MB) Chapter in text book, Advances in Assisted Reproductive Technology, 1990. Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989.

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At least one open tube is required for IUI, and any sperm abnormality cannot be severe, otherwise the sperm will not be able to swim to and fertilize the egg. Ovulation often can be detected by keeping a menstrual calendar or using an ovulation predictor kit. Aetiology of Congenital Absence of Vas Deferens: Genetic Study of Three Generations. (PDF, 4 MB) Human Reproduction, 1993. Two hormones signal to the testes to make sperm and testosterone: luteinizing hormone and follicle-stimulating hormone. Infertility caused by DNA defects on the Y chromosome is passed on from father to son. 8 Couples with unexplained infertility may want to consider another year of intercourse before moving to more costly and invasive therapies, such as assisted reproductive technology. For patients wishing to conceive, the medical approach is not indicated, as it delays treatment for infertility. 48 However, there is no firm evidence that preconception counseling leads to increased live birth rates, in part because no studies on this topic have been performed. Just before those eggs would otherwise be ovulated, they are retrieved under mild anesthesia in an operating room. Age: Male fertility starts to fall after 40 years. 75 mg intramuscularly every 4 weeks for a period of up to 6 months. [117, 120, 121, 122] Disadvantages of this treatment include symptoms of menopause, osteoporosis, and recurrence of the myomas after discontinuation of the treatment. Panhypopituitafism: Complete pituitary gland failure--lowers growth hormone, thyroid-stimulating hormone, and LH and FSH levels.  Symptoms include:  lethargy, impotence, decreased libido, loss of secondary sex characteristics, and normal or undersized testicles.  Supplementing the missing pituitary hormones may restore vigor and a hormone called hCG may stimulate testosterone and sperm production. Possible problems could be that the egg is not released at the optimum time for fertilization, that it may not enter the fallopian tube, sperm may not be able to reach the egg, fertilization may fail to occur, transport of the zygote may be disturbed, or implantation fails. Regrettably, this often leads to untruly high expectations of assisted reproduction techniques (ART) [40].