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Semen analysis – The semen analysis is the main test to evaluate the male partner. If left untreated, infections like chlamydia, gonorrhea, and mycoplasma can eventually lead to infertility.  The reproductive process In order to successfully conceive, certain reproductive steps must occur, and they are as follows: One of the ovaries releases a mature egg. Low sperm mobility (motility): The sperm cannot "swim" as well as they should to reach the egg.

Once the follicles (fluid filled sacs containing the eggs) reach a mature size, an HCG injection is administered which leads to final development and maturation of the eggs. 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. Patients who do not ovulate because of a fault in the pituitary gland may receive this drug as an injection. One of the best known is the HFEA – The UK's regulator for fertility treatment and embryo research. BMI (body mass index) may be a significant factor in fertility, as an increase in BMI in the male by as little as three units can be associated with infertility.

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Prior surgeries Certain surgeries may prevent you from having sperm in your ejaculate, including vasectomy, inguinal hernia repairs, scrotal or testicular surgeries, prostate surgeries, and large abdominal surgeries performed for testicular and rectal cancers, among others. In current practice, an alternative for patients with more than 5 sizable follicles is to convert the treatment to IVF.

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The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999. Gonadotropins can trigger ovulation when Clomid or Serophene don't work. Reversal of Vasectomy and the Treatment of Male Infertility. (PDF, 4 MB) Urologic Clinics of North America, 1981. It is important to tell a doctor if excessive mental and emotional stress develop. Exercise: Both too much and too little exercise can lead to fertility problems.

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Estimating the prevalence of infertility in Canada [published correction appears in Hum Reprod. Therefore, we recommend an evaluation if menstrual cycles are infrequent or irregular in a couple attempting pregnancy. For a man to be fertile, the testicles must produce enough healthy sperm to be ejaculated effectively into the woman's vagina. Some diseases: Conditions that are sometimes linked to lower fertility in males are anemia, Cushing's syndrome, diabetes, and thyroid disease. Human menopausal gonadotropin, or hMG (Repronex): This contains both FSH and LH. Sermondade N, Faure C, Fezeu L, Lévy R, Czernichow S; Obesity-Fertility Collaborative Group. Calcification of the Seminal Vesicles and Vas Deferens in a Uremic Patient. (PDF, 3 MB) The Journal of Urology, 1971. Veltman-Verhulst SM, Cohlen BJ, Hughes E, Heineman MJ. In a move that dramatically changes the definition of infertility, the WHO will declare that it should no longer be regarded as simply a medical condition. As in the case of sterility, the process will get under way right away in those cases where there is a background of reproduction issues. Here, the hormones FSH (= follicle stimulating hormone) and LH (= luteinizing hormone) play an important role. In addition, antibodies are present in 35% of patients with CBAVD. Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989.