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Female factor Dysfunction of the female reproductive organs is also apparent in around 40% of infertile couples. The male partner can be evaluated for infertility or subfertility using a variety of clinical interventions, and also from a laboratory evaluation of semen.” (Semen manual, 5th Edition3).

Ongoing Pregnancies and Birth after Intracytoplasmic Sperm Injection with Frozen-thawed Epididymal Spermatozoa. (PDF, 442 KB) Human Reproduction, 1995. This prevents the sperm from fertilizing the egg. The sperm can either be mixed with the eggs to allow normal fertilization (conventional insemination) or by injecting one sperm into each mature egg (ICSI). The administration of hMG and its derivatives should be under the direct supervision of a reproductive endocrinologist. ART: Gamete Intrafallopian Transfer (GIFT) GIFT is a procedure that involves ovarian stimulation, egg retrieval, and placing a mixture of sperm and eggs directly into the woman’s fallopian tube to foster fertilization inside the female body. The Effect of Female Age and Ovarian Reserve on Pregnancy Rate in Male Infertility: Treatment of Azoospermia with Sperm Retrieval and Intracytoplasmic Sperm Injection. (PDF, 66 KB) Human Reproduction, 1997.

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The obtained oocytes are released from their follicles and adhesive granulocytes are removed with an enzyme, and then the injection of seminal filaments is made with a glass pipette. If fimbriectomy was performed, no treatment is available other than IVF. Physical exam A directed physical exam that may include a pelvic ultrasound should be performed. The farther from the scrotum, and the longer duration that the testicle resides outside the scrotum, the greater the likelihood of infertility. The other cases are caused by a mixture of male and female problems or by unknown problems. Testosterone is a key hormone for male fertility, so problems with the testes that produce this hormone may lead to infertility.

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VITRIKAS, MD, David Grant Medical Center Family Medicine Residency, Travis Air Force Base, California Am Fam Physician. 2015 Mar 1;91(5):308-314.   Patient information: See related handout on infertility, written by the authors of this article.   Related letter: Natural Procreative Technology for Treating Infertility This clinical content conforms to AAFP criteria for continuing medical education (CME). These drugs also can also help you get pregnant by causing your ovaries to release multiple eggs.

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25 Women with no clear risk of tubal obstruction should be offered hysterosalpingography to screen for tubal occlusion and structural uterine abnormalities. They may go unnoticed until a man tries to have a baby. Here are some common male infertility treatments. If the correction is not done, it may be harder for the sperm to get to the female's cervix.