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Infectious, anatomic, metabolic, and functional problems associated with infertility are seen less frequently. (Also see Infertility.) The only confirmed infectious cause of infertility in the bitch is brucellosis (see Brucellosis in Dogs). Erectile Disfunction (ED): Also known as impotence, this condition is common and affects 20 million American men.  ED is the result of a single, or more commonly a combination of multiple factors.  In the past, ED was thought to be the result of psychological problems, but new research indicates that 90 percent of cases are organic in nature.  However, most men who suffer from ED have a secondary psychological problem that can worsen the situation like performance anxiety, guilt, and low self-esteem.  Many of the common causes of impotence include:  diabetes, high blood pressure, heart and vascular disease, stress, hormone problems, pelvic surgery, trauma, venous leak, and the side effects of frequently prescribed medications (i.e. 47 Motivational interviewing techniques for modifiable risk factors, such as obesity, tobacco, illicit drugs, and alcohol, can decrease the targeted risk factor.

More than 60% of sperm should be normal, and less than 2-3% should be immature. During ejaculation, the ejaculate is propelled forward by the rhythmic contractions of the smooth muscle that surrounds the ducts and by the bulbourethral muscles and other pelvic muscles. Debate: Are Spermatid Injections of any Clinical Value? (PDF, 6 MB) Human Reproduction, 1998. Once confirmed, the male partner is referred to a reproductive urologist, especially if the abnormality is severe. 8 Women in group I typically present with amenorrhea and low gonadotropin levels, most commonly from low body weight or excessive exercise. The most common of these procedures are removal of all or part of the colon (colectomy), or removal of the kidney (nephrectomy).

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Investigations Infertile couples are usually adviced to start their investigations after 12 months of trying to conceive or after 6 months if the female partner is more than 35 years old or immediately if there is an obvious cause for their infertility or subfertility [16]. Cervical factors are also thought to play a minor role, although they are rarely the sole cause. In such cases, the vas deferens connecting the testicle and prostate is not formed.

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Happily, many couples treated for infertility go on to have babies. In the United States, around 10 percent of women aged 15 to 44 years are estimated to have difficulty conceiving or staying pregnant. Endometriosis is common in women with infertility..

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Microsurgery in Pediatric Urology. (PDF, 13 MB) The National Foundation, 1977. Because sperm generation time is just over two months, it is recommended to wait three months before repeat sampling. If you’re having trouble conceiving, you are certainly not alone. Obesity may also lead to less frequent ovulation or to less frequent intercourse, thereby contributing to fertility problems. Vasoepididymostomy to the Head of the Epididymis: Recovery of Normal Spermatozoal Motility. (PDF, 3 MB)Fertility and Sterility, 1980.