2. Testicular Hormonal 5 Main Factors For Men INFERTILITY Epididymis, Seminal Vesicle and Prostate Coital Disorders Abnormal Sperm

3. 1. Delayed puberty. 2. LH, and FSH deficiency.  Congenital hypo-gonadotrophic hypogonadism (pituitary gland hormones)  Kallman’s syndrome which is associated with abnormal sense of smelling.  Destruction of pituitary and hypothalamic glands due to  Trauma  Irradiation  Tumors  Medications  Surgery. 3. Hyperprolactinemia due to pituitary adenoma or a side effect(s) of some medications. Causes Related To Glands Controlling Testicular Function

6.  Congenital causes:  Vas aplasia,  malformation of caudal \ corpus epididymis,  Obstruction of seminal vesicles.  Infectious epididymal obstruction:  Some of the Microorganisms that may also cause infections are staph, gonorrhea tuberculosis, trachoma, anaerobes and Chlamydia.  Vasectomy: A procedure done for male contraception in this procedure a cut in seminal ducts is done which will cause male infertility. Disorders Related To Epididymis, Seminal Vesicles And Prostate:

7. Coital Defects  Inappropriate time  Erectile dysfunction  Using ointments or creams  Hypospadias  Congenital Penile Defects.  Retrograde ejaculation Congenital causes  Stenosis of the external urethra.  Stenosis of the external valve due to hypertonic muscles  Congenital anomaly of the internal valve.  Congenital stenosis of bladder neck. Acquired cause  Neurological injury due to spinal cord injury.  Pelvic fracture.  Pelvic surgery.  Diabetes.  Prostate surgery.  Bladder surgery.  Urethral dilatation.

8. Immotile cilia syndrome NecrospermiaNecrospermia Periaxonemal abnormalities Increase viscosity Enzymes Deficiency Pus In Semen Zinc deficiency Decreased A.T.P Membrane malformation Disorders in calcium metabolism Abnormal Prostaglandins. bicarbonate deficiency