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Various Male Fertility Disorders

Azoospermia

Azoospermia characterized by the absence of sperm is either due to an obstruction in the outflow system from the testicle, in the epididymis or vas deferens, or due to a failure in sperm production (spermatogenesis). If a biopsy of the testicle showed that spermatogenesis was normal, this would then indicate that an obstruction was the cause of his azoospermia. Vasograms, which are X-rays of the vas deferens can then be performed to identify the location of the obstruction.
 

Presence of Antibodies

Sometimes, a semen sample when seen under a microscope, will show sperm clumping. This may indicate the presence of sperm antibodies that are causing the sperm to stick together. A blood sample can be tested for the presence of agglutinating and other sperm inhibiting antibodies.
 

Klinefelter's Syndrome 

Very small testicles may be the manifestation of Klinefelter's Syndrome. This is caused by a chromosomal aberration. Thus, a chromosome investigation will show the presence of an extra X (female) chromosome.
 

Hormone Disorders

Hormone disorders are rare causes of male infertility, but it may sometimes be helpful to check his F.S.H., L.H., testosterone (male hormone), prolactin and thyroid hormone levels.
 

Bacterial Infection

The existence of an excessive amount of white blood cells in the semen sample may indicate that an infection may be reducing the ability of the sperm to fertilise an egg. The semen sample should then be cultured to determine the type of infecting bacterial organism.
 

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