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Studies show that the IUI is most successful when it is coupled with fertility drugs to enhance ovulation, with success rates between 5% and 20% per cycle. Apparent Fertility of Human Spermatozoa from the Caput Epididymidis. (PDF, 4 MB) Journal of Andrology, 1989. Clean, Intermittent Self-catheterization in the Treatment of Urinary Tract Disease. (PDF, 2 MB) The Journal of Urology, 1972.

MESA or TESA? (PDF, 115 KB) Human Reproduction, 1996. Poor egg quality: Eggs that are damaged or develop genetic abnormalities cannot sustain a pregnancy.

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The most commonly prescribed pill to stimulate ovulation (generally of one mature egg) is clomiphene citrate. A relationship also exists between obesity and erectile dysfunction (ED). This may be used if IVF has not been effective, if there has been poor embryo growth rate, and if the woman is older.

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Gonadotropin-releasing hormone (Gn-RH) analogs: These can help women who ovulate too early—before the lead follicle is mature—during hmG treatment. Sperm production problems One of the most common causes of male infertility is problems with sperm production.

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Helping our patients develop a deep understanding of their fertility options will make the process smoother. Costs for fertility testing and treatments History The doctor will ask questions to try to get clues as to the cause of your infertility. Results of one study investigating a cohort of 315 men revealed changes within the hinge region of SF-1 and no rare allelic variants in fertile control men. In ZIFT, your doctor places the fertilized eggs -- at this stage called zygotes -- into your fallopian tubes within 24 hours. In some cases, your doctor may recommend a procedure known as intracytoplasmic sperm injection (ICSI). BMI (body mass index) may be a significant factor in fertility, as an increase in BMI in the male by as little as three units can be associated with infertility. Ideally, the test should be performed at least twice to confirm results. Some women are infertile because their ovaries do not mature and release eggs. The most common disorders impacting ovulation include polycystic ovary syndrome (PCOS), hypogonadotropic hypogonadism (from signaling problems in the brain), and ovarian insufficiency (from problems of the ovary). Reduced secretion of cervical mucus due to destruction of the endocervical glands by previous cervical conization, freezing, or laser vaporization responds poorly to low-dose estrogen therapy. Editorial: The Cure and Proliferation of Male Infertility. (PDF, 2 MB) The Journal of Urology, 1998.