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Gonadotropins can trigger ovulation when Clomid or Serophene don't work. Rarely, a blood clot may develop in an artery or vein, liver or kidney problems can arise, and respiratory distress may develop. If conception does not occur after many months or years of trying, it can lead to stress and possibly depression.

CI or intrauterine insemination is the treatment of choice if more than 2 million sperm are recovered after the sperm wash. (See Treatment of Cervical Factors). [106, 109] Patients whose reproductive tract, FSH, LH, and testosterone levels are determined to be normal or those who have low testosterone in the absence of any other hormonal abnormalities can be treated empirically with cycles of CC (25 mg PO qd for at least 6-12 mo). Twelve months is the lower reference limit for Time to Pregnancy (TTP) by the World Health Organization.[7] a woman over 35 has not conceived after six months of contraceptive-free sexual intercourse. The laboratory evaluation begins with a semen analysis.

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Sperm retrieval for azoospermia and intracytoplasmic sperm injection success rates – A personal overview. (PDF, 1 MB) Human Fertility, 2010. Post-ejaculatory urinalysis (urine testing), to check for retrograde ejaculation.

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Rarely, a blood clot may develop in an artery or vein, liver or kidney problems can arise, and respiratory distress may develop. If resistant to the above, offer: - laparoscopic ovarian drilling, or, - ovulation induction via gonadotrophins. In cases of poor sperm quality, intrauterine insemination can be performed.

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Each country has its own body or bodies responsible for the inspection and licensing of fertility treatment under the EU Tissues and Cells directive [78] Regulatory bodies are also found in Canada [79] and in the state of Victoria in Australia [80] See also[edit] [edit] Inhorn MC (2003). "Global infertility and the globalization of new reproductive technologies: illustrations from Egypt". 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. When Predictions Don’t Predict. (PDF, 549 KB) The Australian and New Zealand Journal of Obstetrics and Gynaecology, 1991. This improves the chances that the embryo will implant at, or attach to, the wall of the uterus. The most commonly prescribed pill to stimulate ovulation (generally of one mature egg) is clomiphene citrate. Semen and sperm Sometimes the sperm cannot travel effectively to meet the egg.