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Any of the following can cause a man to have a low sperm count or abnormal sperm: Varicocele — an abnormal collection of bulging veins above the testicle; they’re the most common cause of correctable male infertility, accounting for 38% of cases Undescended testicle Infections in the testicle (orchitis), the prostate (prostatitis), or elsewhere in the body that causes a fever Chemotherapy for cancer Medicines such as anabolic steroids or anti-seizure medicines Genetic abnormalities Hormone problems In some cases, these problems can be reversed, but other times they can’t. If a weight gain greater than 2 lb occurs, the patient should be evaluated to determine if hospitalization is required.

Affected individuals displayed more severe forms of infertility such as azoospermia and severe oligozoospermia.[27] Other causes[edit] Factors that can cause male as well as female infertility are: DNA damage DNA damage reduces fertility in female ovocytes, as caused by smoking,[28] other xenobiotic DNA damaging agents (such as radiation or chemotherapy)[29] or accumulation of the oxidative DNA damage 8-hydroxy-deoxyguanosine[30] DNA damage reduces fertility in male sperm, as caused by oxidative DNA damage,[31] smoking,[28] other xenobiotic DNA damaging agents (such as drugs or chemotherapy)[32] or other DNA damaging agents including reactive oxygen species, fever or high testicular temperature.[33] The damaged DNA related to infertility manifests itself by the increased susceptibility to denaturation inducible by heat or acid [34] or by the presence of double-strand breaks that can be detected by the TUNEL assay.[35] General factors Diabetes mellitus,[36][37] thyroid disorders,[38] undiagnosed and untreated coeliac disease,[39][40][41][42] adrenal disease[43] Hypothalamic-pituitary factors Hyperprolactinemia Hypopituitarism The presence of anti-thyroid antibodies is associated with an increased risk of unexplained subfertility with an odds ratio of 1. Undescended testicles During fetal development one or both testicles may fail to descend from the abdomen into the sac that normally contains the testicles. Constant irrigation with Ringer lactate solution and heparin prevents fibrin formation.

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Out of 100 couples in the United States, 12 to 13 have trouble conceiving. The fertilized embryo is then transferred to womb. Epidemiological definition of infertility (for monitoring and surveillance) Women of reproductive age (15–49 years) at risk of becoming pregnant (not pregnant, sexually active, not using contraception and not lactating) who report trying unsuccessfully for a pregnancy for two years or more. (Reproductive Health Indicators) Infertility as a disability Disability: Infertility generates disability (an impairment of function), and thus access to health care falls under the Convention on the Rights of Persons with Disability.

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Factors Affecting Fertility (Continued) Among other factors affecting the probability of conception are: Age of women. Carcinoma in the Bladder Left Behind. (PDF, 3 MB) The Journal of Urology, 1973. Gerrits T, Shaw M (2010). "Biomedical infertility care in sub-Saharan Africa: a social science review of current practices, experiences and view points". In a third of cases, the reason lies only with the man; in another third, it is because of the woman; and in the rest of the cases, it is a combination of both, or the cause is unknown. The effect of age upon men's fertility is less clear.[citation needed] In people going forward for IVF in the UK, roughly half of fertility problems with a diagnosed cause are due to problems with the man, and about half due to problems with the woman. The Relationship of Abnormal Semen Parameters to Male Fertility. (PDF, 4 MB) Human Reproduction, 1989.

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However, further testing may include: A general physical exam by a urologist. Embryo Development after ICSI Using Testicular, Epididymal and Ejaculated Spermatozoa. (PDF, 2 MB) Frontiers in Endocrinology, 1995. 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. If the epididymis is blocked, sperm may not be ejaculated properly. If you and your partner agree, extra embryos can be frozen and saved to use later.