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Surgical procedures are now rarely used because of the high success rate of other infertility treatments.  IUI: Fertility doctors may also recommend intrauterine insemination or IUI. Diverse Spermatogenic Defects in Humans Caused by Y Chromosome Deletions Encompassing a Novel RNA-binding Protein Gene. (PDF, 2 MB) Human Reproduction, 1996. Your physician will discuss these approaches to having a baby if appropriate to your particular case. Treatment of hydrosalpinx (distal tubal obstruction) with salpingostomy can be performed through microsurgery or operative laparoscopy. Intrauterine insemination (IUI): At the time of ovulation, a fine catheter is inserted through the cervix into the uterus to place a sperm sample directly into the uterus.

Infertility caused by DNA defects on the Y chromosome is passed on from father to son. Bladder neck closure during ejaculation is vital to ensure antegrade ejaculation. Gerrits T, Shaw M (2010). "Biomedical infertility care in sub-Saharan Africa: a social science review of current practices, experiences and view points". Other causes may include: Genetic factors: A man should have an X and Y chromosome.

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Assisted Reproductive Technology: Using Ejaculated, Fresh, and Frozen-thawed Epididymal and Testicular Spermatozoa Gives Rise to Comparable Results after Intracytoplasmic Sperm Injection. (PDF, 5 MB) Fertility and Sterility, 1995. Couples may decide to go ahead regardless if the desire to become pregnant is very strong. When it is possible to find the cause, treatments may include medicines, surgery, or assisted reproductive technology.

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Intrauterine insemination. For this procedure, after semen gets rinsed with a special solution, a doctor places it into your uterus when you're ovulating. Factors effecting normal expectancy of conception. Reduced hormones may result, which could potentially translate into trouble conceiving. Existing definitions of infertility lack uniformity, rendering comparisons in prevalence between countries or over time problematic. Povey AC, Clyma JA, McNamee R, et al.; Participating Centres of Chaps-UK. Gerrits T, Shaw M (2010). "Biomedical infertility care in sub-Saharan Africa: a social science review of current practices, experiences and view points".

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The following problems are possible: Low sperm count: The man ejaculates a low number of sperm. This technique involves an injection of a single healthy sperm directly injected into mature egg. Clean, Intermittent Self-catheterization in the Treatment of Urinary Tract Disease. (PDF, 2 MB) The Journal of Urology, 1972. Environmental vs Genetic Sex Determination: A Possible Factor in Dinosaur Extinction? (PDF, 307 KB) Fertility and Sterility, 2004. Debate over whether health insurance companies (e.g. in the US) should be required to cover infertility treatment. The man must be producing healthy sperm in quantities large enough to fertilize an egg cell. Ovarian Transplantation between Monozygotic Twins Discordant for Premature Ovarian Failure. (PDF, 315 KB) The New England Journal of Medicine, 2005. Full history taking of both partners usually denotes the underlying problem [17-23], (Appendix 1). If you’re worried about your fertility, the best thing to do is talk to your doctor. Infertility in men Semen and sperm The most common cause of infertility in men is poor-quality semen, the fluid containing sperm that's ejaculated during sex. Treatment of Female Infertility: Intrauterine Insemination Intrauterine insemination (IUI) is a fertility procedure in which sperm are washed (separated from the semen), concentrated, and injected directly into a woman’s uterus.