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The embryos are placed within the tip of the transfer catheter and then injected within the uterine cavity once the catheter is placed through the cervical canal to the ideal spot within the uterus. Fertilized eggs are then transferred several days later into the woman’s uterus, where implantation and embryo development will hopefully occur as in a normal pregnancy. Abnormalities of sperm may be treated with gonadotropin therapy, intrauterine insemination, or in vitro fertilization. Other tests include: ovarian reserve testing, to find out how effective the eggs are after ovulation genetic testing, to see if a genetic abnormality is interfering with fertility pelvic ultrasound, to produce an image of the uterus, fallopian tubes, and ovaries Chlamydia test, which may indicate the need for antibiotic treatment thyroid function test, as this may affect the hormonal balance Complications Some complications can result from infertility and its treatment. However, the presence of fibroids alone doesn’t necessarily cause infertility or predispose a woman to pregnancy loss. A variety of hormonal imbalances can affect a man's fertility.

Diet: A lack of folic acid, iron, zinc, and vitamin B-12 can affect fertility. 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. Removal of polyps by the minimally invasive procedure hysteroscopy is associated with a doubling of pregnancy rate. Congenital Absence of the Vas Deferens: The Fertilizing Capacity of Human Epididymal Sperm. (PDF, 3 MB) New England Journal of Medicine, 1990. The doctor may ask about the couple's sexual habits and make recommendations regarding these. This sterile needle is attached to sterile suction tubing and a collecting vial.

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Some women have bilateral tubal occlusion, which is when both tubes are blocked. Cystic Fibrosis and Infertility Caused by Congenital Bilateral Absence of the Vas Deferens and Related Clinical Entities. (PDF, 2 MB) Human Reproduction, 1996.

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London, United Kingdom: National Institute for Health and Clinical Excellence (NICE); February 2013:1–63. (Clinical guideline no. In most cases, only 1 follicle is recruited and develops until ovulation. Normal Pregnancies Resulting from Testicular Sperm Extraction and Intracytoplasmic Sperm Injection for Azoospermia Due to Maturation Arrest. (PDF, 6 MB) Fertility and Sterility, 1996. Eating disorders: If an eating disorder leads to serious weight loss, fertility problems may arise. The couple should make sure to have sex during the three days before ovulation. This may reflect an unknown immunological incompatibility or other unknown problem with fertilization or implantation.

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Infertility: Female and Male Factors It is very important to note that infertility can occur as a result of one or more male or female factors. Thus, an intravenous pyelogram must be performed once this diagnosis is made. Sex any time in the five days before ovulation can create a pregnancy. Women presenting with a history of this anomaly should be considered high-risk obstetrical patients. [115] Bicornuate uterus A bicornuate uterus causes only minimal problems with infertility (if any). Ongoing Pregnancies and Birth after Intracytoplasmic Sperm Injection with Frozen-thawed Epididymal Spermatozoa. (PDF, 442 KB) Human Reproduction, 1995. Hyperprolactinemia: If prolactin levels are high, and the woman is not pregnant or breastfeeding, it may affect ovulation and fertility.