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As new technology becomes available, fertility treatment is now accessible to more people, and success rates and safety are improving all the time. The following hormones can be identified in the blood among others: FSH, LH, estradiol, prolactin, testosterone, DHEA-S and the thyroid hormones. Infertility may be caused by blockage of the Fallopian tube due to malformations, infections such as chlamydia or scar tissue. In vitro fertilization (IVF). In this technique, your doctor places into your uterus that were fertilized in a dish. This prevents the sperm from fertilizing the egg. The Male-specific Region of the Human Y Chromsome is a Mosaic of Discrete Sequence Classes. (PDF, 754 KB) Nature, 2003.

Hysterosalpingography: Fluid is injected into the woman's uterus and X-rays are taken to determine whether the fluid travels properly out of the uterus and into the fallopian tubes. Lifestyle and environmental factors such as smoking, alcohol and drugs, poor eating habits, exposure to increases in testicular temperature (for example, in professions where the worker spends many hours sitting down) and exposure to toxins are factors that compromise semen quality.

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Varicoceles are observed more commonly on the left side than the right. Risk factors for the formation of antisperm antibodies in men include the breakdown of the blood‑testis barrier, trauma and surgery, orchitis, varicocele, infections, prostatitis, testicular cancer, failure of immunosuppression and unprotected receptive anal or oral sex with men.[23][24] Sexually transmitted infections[edit] Infections with the following sexually transmitted pathogens have a negative effect on fertility: Chlamydia trachomatis and Neisseria gonorrhoeae. Hyperandrogenemic ovarian insufficiency is characterized by an immoderate production of androgen. 8–16 One retrospective case-control study of 650 men with infertility and 698 control participants questioned the role of environmental risk; no association could be determined after assessing for multiple factors including shift work, stress, and pesticides.

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Age: Male fertility starts to fall after 40 years. The Use of Epididymal Sperm in Assisted Reproduction. (PDF, 8 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. Most couples (about 84%) who have regular sexual intercourse (that is, every two to three days) and who do not use contraception get pregnant within a year.

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If a weight gain greater than 2 lb occurs, the patient should be evaluated to determine if hospitalization is required. Approximately 4 million (9%) men aged 25–44 years reported that they or their partner had consulted a doctor for advice, testing, or treatment for infertility during their lifetime (4). Expectant therapy Expectant therapy should be based on a complete workup with diagnosis of very early stages of the disease (minimal) in patients without clinical symptoms, ie, an incidental finding. [145] A second-look laparoscopy is required for follow-up observation within 6-18 months. 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. The treatment of uterine malformations depends on the severity of the problem. Endometriosis is common in women with infertility.. Microsurgery and Andrology. (PDF, 5 MB) Chapter from textbook, 1991.