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Around one third of couples have difficulty conceiving due to a low sperm count. Some causes, such as hyperprolactinemia, are reversible with proper treatment. The rest of the time, it is because of both partners or no cause can be found. Prescription drugs can be useful when treating infertility issues. If oligospermia or azoospermia is noted, hypogonadism should be suspected.

Many of the same surgeries performed in humans can be applied to animal cases – everything from an egg-bound tortoise to a German Shepherd can benefit from MIS. Unexplained infertility[edit] In the US, up to 20% of infertile couples have unexplained infertility.[61] In these cases abnormalities are likely to be present but not detected by current methods. The vas deferens carries sperm from the epididymis to the ejaculatory duct and the urethra.

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The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999. Drugs used for both women and men[67] include clomiphene citrate, human menopausal gonadotropin (hMG), follicle-stimulating hormone (FSH), human chorionic gonadotropin (hCG), gonadotropin-releasing hormone (GnRH) analogues, aromatase inhibitors, and metformin.

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CASA measures the following parameters: Curvilinear velocity – The average distance per unit time between successive sperm positions) Straight-line velocity – The speed of forward direction Linearity – The straight-line velocity divided by the curvilinear velocity In addition, the program measures the average path velocity, the amplitude of lateral head displacement, and the flagellar beat frequency, and it is used to evaluate for evidence of hyperactivation. In general, patients only notice that there is a problem once they have started trying to conceive.

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40 Patients using these agents should be counseled about these risks. Teratospermia is defined as less than 30% normal morphology, and the WHO lower reference limit (5th percentile) is 4%. Endocrine tests to check concentrations of the hormones testosterone, FSH and LH. Typical characteristics are ascites and cyst formation of the ovaries. Controversies in OB/GYN: Is Varicocelectomy Useful for Treatment of Male-factor Infertility? (PDF, 4 MB)Contemporary OB/GYN, 2001. Reproductive Biology. (PDF, 147 KB) The Scientist, 1996. One of the best known is the HFEA – The UK's regulator for fertility treatment and embryo research. Other medical techniques are e.g. tuboplasty, assisted hatching, and preimplantation genetic diagnosis. Legal, cultural and religious inquiries have limited the available choices in some countries, such as the use of donor sperms or oocytes. Further backup measures are sufficient thrombosis prophylaxis with heparin and the support of the renal function.