Getting Pregnant For Dummies
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If a couple tries to conceive but can’t seem to do it, one of the first things that doctors look for is a problem with the man’s sperm. Sperm compose about 5 to 10 percent of semen, and are the only part of the semen that can cause pregnancy. If a man is infertile, there is a problem with his sperm — often a low sperm count or low motility. Sometimes, male infertility can be treated.

Just because testicles look normal doesn’t mean that they are fully functioning. The most common problems of male infertility are:

  • Low sperm count, which means that the man isn’t producing enough sperm

  • Low motility, where the sperm he is producing lack sufficient ability to swim to the egg

The basis for the problems may be abnormal sperm production, which can be difficult to treat, or that the testicles are too warm. Heat is known to decrease sperm count, so the solution could be as simple as changing the style of underwear from tighty-whities (briefs) to boxers. Another cause can be a blockage somewhere along the line, which may be corrected through surgery.

Interestingly enough, most semen analysis is done by gynecologists, specialists in the female reproductive system. A gynecologist is usually the first person a woman consults when she has problems getting pregnant. Commonly, the gynecologist asks that the man’s sperm be analyzed. If the tests reveal a problem with the sperm, the man is sent to a urologist for further evaluation.

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Lisa A. Rinehart has been involved in reproductive medicine in the Chicago area for 25 years, currently as a health care attorney and medical practice consultant. She is the executive director of the Kevin J. Lederer LIFE foundation, an active member of the American Society for Reproductive Medicine, and a frequent speaker on all aspects of reproductive law. Dr. John S. Rinehart has maintained an exclusive practice in infertility and reproductive endocrinology in the Chicago area for 35 years. He completed his residency in obstetrics and gynecology at Johns Hopkins Hospital and his fellowship in reproductive endocrinology at Harvard Medical School and Brigham and Women's Hospital. He serves as a senior attending physician with North Shore University HealthSystem and as a senior clinic educator for the Pritzker School of Medicine for The University of Chicago.

Dr. John Rinehart has maintained his practice in infertility and reproductive endocrinology for 35 years. He is a Senior Educator at the Pritzker School of Medicine. Lisa Rinehart is a healthcare attorney and medical practice consultant and a frequent speaker on reproductive law. Jackie Thompson is the author of Fertility For Dummies and Infertility For Dummies. She is also a former fertility patient. Jackie Meyers-Thompson is managing partner of Coppock-Meyers Public Relations/J.D. Thompson Communications. She is the author of Fertility For Dummies and Infertility For Dummies.

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