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Sertoli Cell only Revisited. (PDF, 1 MB) Human Reproduction, 1995. Environmental vs Genetic Sex Determination: A Possible Factor in Dinosaur Extinction? (PDF, 307 KB) Fertility and Sterility, 2004. Practice Committee of the American Society for Reproductive Medicine.

At least one open tube is required for IUI, and any sperm abnormality cannot be severe, otherwise the sperm will not be able to swim to and fertilize the egg. Human chorionic gonadotropin (Ovidrel, Pregnyl): Used together with clomiphene, hMG, and FSH, this can stimulate the follicle to ovulate. Because sperm generation time is just over two months, it is recommended to wait three months before repeat sampling. Up to 2 percent of men are thought to have suboptimal sperm.

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If both tubes are blocked, then in vitro fertilization (IVF) is required. ICSI with Epididymal and Testicular Sperm Retrieval. (PDF, 1 MB) Male Sterility and Motility Disorders: Etiological Factors and Treatment, 1998.

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But if you haven’t had a period in months, it’s time to get your fertility checked. Sometimes, female infertility is related to a hormone problem. Hyperprolactinemia: If prolactin levels are high, and the woman is not pregnant or breastfeeding, it may affect ovulation and fertility. Effectiveness of the postcoital test: randomised controlled trial.

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Once the follicles (fluid filled sacs containing the eggs) reach a mature size, an HCG injection is administered which leads to final development and maturation of the eggs. 6 Accuracy may be improved by use on midday or evening urine specimens, which correlate better with the peak in serum luteinizing hormone levels. 43 Other low-cost methods of monitoring for ovulation, although less effective, include basal body temperature measurements and cervical mucus changes. Histologic endometrial dating is not considered reliable nor is it predictive of fertility. Low sperm mobility (motility): The sperm cannot "swim" as well as they should to reach the egg. A needle biopsy of the testicle can show whether a man is making healthy sperm. In 1978, the first baby was born as a result of IVF.