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Male Infertility A child of my own - Andrology Australia

Male Infertility A child of my own - Andrology Australia

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using methods approved by the World HealthOrganisation. Sperm antibodies can happen insome men when the immune system considers its<strong>own</strong> sperm to be foreign and develops antibodiesagainst them. Sperm antibodies commonly happenin men after vasecto<strong>my</strong>.Antibodies attach themselves to the sperm to reducethe sperm’s movement. The sperm clump together,making it difficult to pass through the mucus in awoman’s cervix. In the fertilisation process, the spermand egg recognise each other by substances (receptors)on their surface. If antibodies are bound to sperm,these receptors are covered by the antibodies and stopthe sperm from binding (sticking) to the egg.What is a normal semen analysis result?The World Health Organisation (WHO 2010) 3published reference values to help work out howan individual semen analysis result compares to afertile population <strong>of</strong> men.A semen analysis value within the reference rangesdoes not guarantee fertility in an individual man,but gives a guide as to whether a man may befertile. Men whose semen analysis falls withinthese ranges may not be fertile as a result <strong>of</strong> otherunkn<strong>own</strong> reasons. In the same way, men whohave very low counts and are not within thesereference ranges might still be able to get a partnerpregnant naturally. So for example while 15 millionsperm per ml is the new lower value for spermMALE INFERTILITY 31

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