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What are the treatment options when there is a poor semen analysis?

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Over 50% of men will have a treatable cause of male factor infertility. These factors include varicoceles (dilated veins in the scrotum) infections, hormonal abnormalities, abnormalities in the seminal fluid, ductal blockages, and difficulties with erections and ejaculation. When these conditions are treated, either through medication (hormones, antibiotics), or surgery (varicocelectomy, vasal reconstruction, repair of a blocked ejaculatory duct) a man will often see a significant improvement in his semen analysis.

Men with idiopathic or unexplained infertility can make lifestyle changes that may result in improvement in his semen analysis. Even men with poor semen analyses whose conditions are not treatable or unexplained may still have the option of using advanced reproductive techniques to achieve a pregnancy. Even those men with no sperm in the ejaculate may be able to have some living sperm procured from them through other methods and achieve a pregnancy using advanced reproductive techniques. Those few men, who produce absolutely no sperm at all, will have this information so that they can explore other options.

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