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Depending on the sperm count, the couple is advised to have intercourse near the time of ovulation or to proceed with intrauterine insemination. Other considerations include preconception screening and vaccination for preventable diseases such as rubella and varicella, sexually transmitted infections, and cervical cancer, based on appropriate guidelines and risk. IUI increases the number of the sperm in the fallopian tubes, where fertilization takes place.

Semen analysis – The semen analysis is the main test to evaluate the male partner. 8  A normal sample according to the 2010 World Health Organization (WHO) guidelines is described in Table 2.

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Chromosomal Abnormalities in Embryos Derived from Testicular Sperm Extraction. (PDF, 324 KB) Fertility and Sterility, 2003. It can either be used to inspect and diagnose certain conditions or to surgically correct an abnormality such as removing scar tissue, endometriosis, or a damaged fallopian tube.

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In vitro fertilization[edit] IVF is the most commonly used ART. Microsurgery in Clinical Urology. (PDF, 5 MB) Urology, 1975. In some women, and especially with age, the membrane becomes harder. If you and your partner agree, extra embryos can be frozen and saved to use later. Pelvic ultrasonography can be used once a week until the dominant follicle is detected; once this occurs, ultrasonography can be used more frequently until ovulation occurs. 40 Patients using these agents should be counseled about these risks.

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Hofherr SE, Wiktor AE, Kipp BR, Dawson DB, Van Dyke DL. Varicocele A varicocele is a dilation of the veins of the pampiniform plexus of the scrotum. Previous sterilization treatment: In women who have chosen to have their fallopian tubes blocked, the process can be reversed, but the chances of becoming fertile again are not high. If fertilization occurs, the developing embryos remain in the fallopian tube and then move to the uterus for the natural implantation process to be completed. The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999. 24 Other tests of ovarian reserve, such as the clomiphene (Clomid) challenge test, antral follicle count, and antimüllerian hormone level, are also generally performed to predict response to ovarian stimulation with exogenous gonadotropins and assisted reproductive technology. Patients have with small- to normal-sized testes and azoospermia, but normal secondary sex characteristics. Couples who do not conceive after treatment for six cycles with documented ovulation should also consider referral to an infertility specialist. Once the fluid containing the eggs is removed from the follicles into the vials, they are handed to the embryologist who finds the eggs, places them in tiny droplets on a Petri dish, and then fertilizes the eggs using their partner’s or donor sperm. The most common identifiable causes of female fertility problems are outlined below: • Ovulatory dysfunction, (or anovulation) where an egg is not released from the ovary every month, is the single most common cause of female infertility.


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