MALE INFERTILITY: THE CAUSES

<div class="MsoNormal"> <br /></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">     When a couple fails to have a child after trying for at least a year, which is the definition of infertility, fertility problems in which there is a participation of men corresponding to 50% of cases. The important nuance is that 20% is the exclusive responsibility of the man, while the other 30% is due to a combination of factors related to both partners.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">20% of cases of infertility of the couple are due exclusively to man<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Although approximately 40% of cases do not get to determine the cause of male infertility, it depends on the quality of semen: number, motility, morphology and vitality of sperm and semen PH. Hence when a couple goes to a fertility clinic in order to get pregnant is one made seminogram the man to determine these parameters.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Possible causes of the loss of semen quality and, as a result of male infertility are very diverse:<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">premature ejaculation.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">     Retrograde ejaculation (semen goes into the bladder instead of out through the penis) may be due to poor closure of the bladder neck, to uncontrolled diabetes, surgery performed to treat benign prostatic hyperplasia or testicular cancer.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Anejaculation: is the absence of ejaculation, which can be caused by a spinal cord injury, diabetes uncontrolled long evolution, surgery practiced in the genital area or retroperitoneal, or prolonged use of certain drugs, among which antipsychotics , antidepressants and antihypertensives or causes mentioned for retrograde ejaculation; It can also occur in patients with poorly controlled diabetes years of evolution, may be the result of surgery of the genital region and retroperitoneal, or may be due to the consumption of certain antidepressants, antipsychotics and antihypertensive drugs.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Drugs and toxic substances are many drugs that affect sperm production and therefore, the quality of semen. Particularly noteworthy androgenic steroids (anabilizantes), thus block the production of testosterone and sperm therefore, being able to reach a azoospermia (absence of sperm). Drug and snuff can also affect the count and sperm morphology. Finally, continued exposure to certain toxic substances (lead, manganese, cadmium, etc) can cause a situation of male infertility.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">     Hormonal disorders: excessive production of prolactin (hyperprolactinemia), the isolated testosterone deficiency, hypothyroidism, congenital adrenal hyperplasia, etc. They are some of the hormonal changes that can cause male infertility.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Chromosomal anomalies account for 21% of cases of azoospermia.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Urogenital infections: is not very common, but these infections can cause seminal abnormalities.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Cryptorchidism: occurs when one or both testicles have not descended into the scrotum and kept inside the abdomen. This situation, which can be corrected surgically reduces sperm production.<o:p></o:p></span></div> <br /> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Varicocele: is caused by the appearance of varicose veins in the testicle, causing an increase in scrotal temperature negatively affects semen quality. Treatment is surgical.<o:p></o:p></span></div>

causes male infertility MALE INFERTILITY: THE CAUSES

     When a couple fails to have a child after trying for at least a year, which is the definition of infertility, fertility problems in ...

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DIAGNOSIS AND SYMPTOMS OF MALE INFERTILITY

<div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">                        <b> What is infertility and male subfertility?</b><o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">     Infertility and male subfertility are conditions in which a man has trouble getting a woman pregnant. Subfertility is when man has been unable to impregnate a woman after a year of regular unprotected sex. The cause of male infertility could be a problem with the male reproductive system. The male reproductive system includes the testes, prostate, penis, scrotum, vas deferens, epididymis, and seminal ducts.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;"><b>What causes infertility and male subfertility?</b><o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">     It is likely that the cause is not known. The following are likely tips of infertility:<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Varicocele: The  scrotum veins are enlarged. This condition may reduce sperm count and cause infertility.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">And has low sperm abnormalities: Problems with form, amount and movement of sperm may decrease fertility.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Genetics: You may be born with genes that cause infertility. Genes may affect sperm production, how they move and how they can travel.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Lock seminal duct: The seminal ducts are tubes that carry sperm from the testicles to the urethra. When these tubes are blocked, it is likely that no sperm in their semen.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Low levels of hormones: Hormonal disorders in the testes or pituitary gland tumors may cause infertility.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Antibodies: A problem with the immune system may cause your body to produce antibodies that attack sperm.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Medicine: Steroids and drugs to treat high blood pressure, cancer or depression could affect fertility.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Infections: Chronic infections (long - term) in the male reproductive system may affect fertility male.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;"><b>What are the signs and symptoms of male subfertility and infertility?</b><o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">     The main sign of male infertility is the inability to get your partner pregnant after 1 year of having unprotected sex. Other signs and symptoms depend on the cause of infertility. If you suffer from varicocele, you will have a lump or swelling in the scrotum that feels like a bag of worms.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;"><b>How male subfertility and infertility diagnosed?</b><o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">     Your doctor will ask about your current health and your health in the past. You will probably need to know how long you and your partner have tried to conceive. Tell when and how often you have sex and if they have had problems. You will also be asked about their smoking habits or drink alcohol and consume what medications. You may need any of the following:<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Physical exam: The doctor will look for signs of low levels of hormones, such as decreased body hair and increased breast tissue. The doctor will also check the size and shape of your testicles and identify any sign of varicocele.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Blood tests: You may have blood drawn to provide information to their doctors about the functioning of your body. The blood could be drawn from the hand, arm or through an IV.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Genetic screening: Genetic screening could be done to detect abnormal genes that could cause not produce sperm or that occur in low amount.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Semen analysis: Used to detect problems with movement and function of sperm. You will need to ejaculate semen for this test.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Sperm analysis: the movement and speed of sperm as they travel through the mucus is checked. It is also likely that sperm count is made.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Spermatic venography: This test evaluates the location of the veins in the scrotum. During the examination a doctor introduce contrast dye in your body and take x - rays to locate the varicocele. Tell your doctor if you have ever had an allergic reaction to the dye.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Ultrasound: Ultrasound uses sound scrotum to detect lumps and other changes in your testicles and scrotum waves.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Urine test: A sample of your urine is collected after you ejaculate. This examination is performed to detect sperm in the urine, which may indicate a blockage or problems with ejaculation.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;"><b>How male subfertility and infertility treated?</b><o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Treatment depends on the cause of their infertility. You may need any of the following:<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Medicine: You may receive antibiotics to treat an infection of the reproductive system. Hormones, such as testosterone, they may be used to treat low hormone levels. Steroids may be used to treat infertility caused by a problem with the immune system.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Percutaneous embolization: This procedure can be used to treat varicocele. Blood flow in veins flanged to suspend obstructs blood flow.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Sperm extraction: If there is a blockage, could remove sperm from the testes and epididymis. The sperm collected could be saved or used to fertilize the female egg.<o:p></o:p></span></div> <br /> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Surgery: Surgery may be performed to repair a blockage in the sperm duct or remove a pituitary tumor<o:p></o:p></span></div>

diagnosis male infertility symptoms DIAGNOSIS AND SYMPTOMS OF MALE INFERTILITY

                          What is infertility and male subfertility?      Infertility and male subfertility are conditions in which a man...

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MALE INFERTILITY

<div class="MsoNormal"> <b><span style="font-size: 14.0pt; line-height: 115%;">                                                               </span></b><br /> <div class="separator" style="clear: both; text-align: center;"> <b><span style="font-size: 14.0pt; line-height: 115%;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjgDU8oV7QZuOm2ydHqR34NhIrn1cSJfsOFSqdu8Id0Ch0yJ-_uWkbyuF1b9Dcnj5FW0JiVkmNyPCMamhbpgAMRgJLVDh-x1W9_AGjj4X41co1Fgqv5ANb5Aipyv8od7lmpP_oZyqkrLvc/s1600/fertility+10.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjgDU8oV7QZuOm2ydHqR34NhIrn1cSJfsOFSqdu8Id0Ch0yJ-_uWkbyuF1b9Dcnj5FW0JiVkmNyPCMamhbpgAMRgJLVDh-x1W9_AGjj4X41co1Fgqv5ANb5Aipyv8od7lmpP_oZyqkrLvc/s1600/fertility+10.jpg" /></a></span></b></div> <b><span style="font-size: 14.0pt; line-height: 115%;">                                      <o:p></o:p></span></b></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">   </span><br /> <span style="font-size: 14.0pt; line-height: 115%;">  Infertility affects about 1 in 6 couples . A diagnosis of infertility is given to a couple who are unable to conceive within one year. When the problem lies with the male partner refers to male infertility .<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Male infertility factors contributes to about 30% of all cases of infertility and male infertility alone accounts for approximately one-fifth of all cases of infertility.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;"><b>What causes male infertility?</b><o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">There are four main causes of infertility in men:<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">A hypothalamic or pituitary disorder (1-2%)<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">gonads disorder (30-40%)<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Disorder sperm transport (10-20%)<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">unknown causes (40-50%)<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Much research has not yet been done on the subject of male infertility, since many cases still are diagnosed "cause unknown." Male infertility usually normally occurs because sperm are abnormal, due to an insufficient number of sperm, or problems with ejaculation.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">     Sperm can be considered abnormal for two possible reasons: unusually short lifespan of sperm and / or low mobility.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Sperm abnormalities can be caused by one or more of the following:<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Inflammation of the testicles<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">swollen veins in the scrotum<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">abnormally developed testicles<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;"><b>Reasons for low sperm count or lack of sperm include one or more of the following:</b><o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">A pre-existing genetic condition<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">The use of alcohol, snuff or other drugs<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Severe infection mumps after puberty<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Hernia repairs<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">hormonal disorder<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Exposure to toxic chemicals<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">The radiation exposure<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">The obstruction caused by a previous infection<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Wearing tight or restrictive underwear<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Injury in the groin area<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Male infertility can also occur when there are problems with ejaculation.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Ejaculation problems can include any of the following:<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Premature ejaculation<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Retrograde ejaculation, which occurs when semen is forced back into the bladder<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Erectile dysfunction<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Complications of radiation therapy or surgery<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Other causes of male infertility may include:<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">History of sexually transmitted diseases<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Urinary tract infections<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">The use of certain types of drugs<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">How is male infertility diagnosed<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">     Male infertility potential will be evaluated as part of a complete physical examination will include a medical history regarding possible contributing factors.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Your provider may use one or more of the following tests to evaluate fertility:<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Semen analysis to determine the number and quality of sperm<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Blood tests to check for infections or hormonal problems. Hormone levels are so important in male fertility and female fertility<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Make a culture of fluid from the penis to check for infections<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Physical examination of the penis, scrotum and prostate<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Semen analysis is the most important part of testing male fertility. Some men it is more convenient for testing semen analysis in the privacy of their own homes. Home test kits are available.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;"><b>What are they looking for in the test?</b><o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">     When semen analysis is done, the doctor will be looking for some specific markers to access fertility.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Total quantity or semen volume - 2 milliliters is considered normal. A lower amount may indicate a problem with the seminal vesicles, blocked ducts or a problem with the prostate gland.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Sperm count - 20 to 300 million per milliliter is considered within the normal sperm count range. Below 10 million is considered "poor."<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Morphology - the size and shape of the sperm affect the ability of sperm to reach and fertilize an egg. 30% is considered a good amount of sperm that are as "normal." And the proof "strict," shows an even smaller percentage of normal.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Motility - movement and the number of active cells. Movement is 0-4, with a score of more than 3 considered good. The amount of active cells has a percentage 1-100%, with 50% considered the minimum.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;"><b>How is male infertility treated?</b><o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Male infertility is oftener treated by conventional methods including one or more of the following :<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Taking medication to increase sperm production<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Taking antibiotics for infection feed<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Hormanas take to improve hormonal imbalance<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Avoid taking long, hot showers, hot tubs or saunas<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">The use of looser underwear like boxer briefs front jockey shorts<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">     Sperm production can also be improved by taking clinically proven supplements. Anything that increases the number of healthy sperm increases the chances of conception. Many health food stores and vitamin stores offer supplements for male fertility. Artificial insemination is an option if the count man's sperm is low. in this procedure, sperm is collected through multiple ejaculations.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">In vitro fertilization is another option that can be used to overcome the factors of male infertility. If the tests show no sperm production or other problems are present, donor sperm can be used to help facilitate conception. in this procedure, a sperm donor is obtained from a sperm bank and placed into the uterus or fallopian tubes of women through artificial insemination.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;"><b>Can You Prevent Male Infertility?</b><o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Usually there is nothing that can be done to prevent male infertility caused by genetic problems or diseases. However, there are actions that men can take to reduce the possibility of infertility.<o:p></o:p></span></div> <div class="MsoNormal"> <br /></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">These include:<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Avoiding sexually transmitted diseases<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Avoiding illicit drugs<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Radiation avoiding where possible<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Avoid exposure to toxic substances<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Avoid excessive or frequent use of alcohol<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Observing good personal hygiene and health<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Avoiding long hot baths, hot baths or saunas<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Wearing baggy underwear<o:p></o:p></span></div> <div class="MsoNormal"> <br /></div> <div class="MsoNormal"> <br /></div> <div class="MsoNormal"> <br /></div> <br /> <div class="MsoNormal"> <br /></div>

causes male infertility treatment MALE INFERTILITY

                                                                                                            Infertility affects abou...

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