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Intrauterine insemination is a process by which sperm is washed and prepared for placement into the uterine cavity, therefore bypassing the cervix and bringing a higher concentration of motile sperm closer to the tubes and ovulated egg. This whole process hinges on there being proper levels of testosterone and other hormones as well as correct signaling from the nervous system. 34 Although intrauterine insemination has been shown to be equally effective as timed intercourse in unstimulated cycles, there is a modest increase in live birth rates when combined with ovarian stimulation.

Epididymal Extravasation Following Vasectomy as a Cause for Failure of Vasectomy Reversal. (PDF, 22 MB)Fertility and Sterility, 1979. This mucus mainly affects the lungs, but males may also have a missing or obstructed vas deferens. An adequate semen analysis includes the following: Volume (1. This technique involves an injection of a single healthy sperm directly injected into mature egg.

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Submucosal fibroids are the type if fibroid that has clearly been demonstrated to reduce pregnancy rate, roughly by 50%, and removal of which will double pregnancy rate. Testicular Transplantation and Autotransplantation. (PDF, 8 MB) Chapter 22 of textbook, Extracorporeal and Microvascular Surgery, 1982. Other testing may be needed based on circumstances, including testicular biopsy, genetic testing, and imaging (Table 36–8,10,19,20).

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Maternal age Infertility due to age is one of the most common causes of female infertility. IVF involves removal of eggs directly from the ovary, fertilization with sperm in the laboratory, followed by transfer of the embryos directly into the uterus, thereby bypassing the tubes. Women with anovulation may be treated in the primary care setting with clomiphene to induce ovulation. This drug is administered in a pulsatile fashion every 60-120 minutes, intravenously or subcutaneously using a delivery pump. Uterine fibroids Fibroids are noncancerous growths in the uterus. They may go unnoticed until a man tries to have a baby.

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Antisperm antibody test Sperm contain unique antigens that are not recognized as self by the body's immune system because of the blood-testis barrier. Unexplained fertility affects about 10 percent of couples worldwide. The risk of ovarian hyperstimulation syndrome and multiple pregnancy is heightened; therefore, hMG should be started at the minimal dose (75 IU SC qd for 7 days). The ovaries can stop working in about 5% of cases. For a man to be fertile, the testicles must produce enough healthy sperm to be ejaculated effectively into the woman's vagina. In GIFT, the sperm and eggs are mixed together before a doctor inserts them. Nonliquefication of the semen can be differentiated from benign hyperviscosity by a normal postcoital test finding. Linthicum, Md.: American Urological Association, Inc.; 2010.