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Treatment Treatment will depend on many factors, including the age of the person who wishes to conceive, how long the infertility has lasted, personal preferences, and their general state of health. Undescended testicles During fetal development one or both testicles may fail to descend from the abdomen into the sac that normally contains the testicles. 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.

Additionally, transvaginal ultrasound affords the opportunity for your physician to assess the relative number of available eggs. After fertilization, implantation may then take place in the uterus. 8,37 Women in WHO group II, including those who are overweight and who have polycystic ovary syndrome, can benefit from weight loss, exercise, and lifestyle modifications to restore ovulatory cycles and achieve pregnancy. In a recent meta-analysis, letrozole was found to be as effective as other methods of ovulation induction. [169] The usual dose for letrozole ovulation induction is 2.

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Semen analysis – The semen analysis is the main test to evaluate the male partner. Exposure to toxic agents can occur from occupational hazards or contaminated air, water, food supply or other exposures. In-vitro fertilization (IVF.)Sperm are mixed with multiple eggs collected from the woman in a “test tube” (actually just a plastic dish.).

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Cystic fibrosis: This is a chronic disease that results in the creation of a sticky mucus. Surgical sperm aspiration: The sperm is removed from part of the male reproductive tract, such as the vas deferens, testicle, or epididymis. Classic Klinefelter syndrome has a 47, XXY karyotype and is caused by a nondisjunction during the first meiotic division, more commonly of maternal origin; mosaic forms are due to nondisjunction following fertilization. After all, the necessity of reproduction is one of the few things on which both Darwin and the Bible agree. High Fertilization and Pregnancy Rate after Intracytoplasmic Sperm Injection with Spermatozoa Obtained from Testicle Biopsy. (PDF, 3 MB) Human Reproduction, 1995. When a man ejaculates and releases semen through the penis, the seminal fluid, or semen, helps transport the sperm toward the egg.

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Basic Work-up for Infertility It is very important to remember that infertility can occur as a result of one or more male or female factors. Earn up to 6 CME credits per issue.     To see the full article, log in or purchase access. Regardless of the treatment approach, establish a 6- to 12-month interval during which a spontaneous pregnancy is expected to occur. Diagnosis of Sterility An important part of the diagnosis is a detailed anamnesis and the routine gynecologic examination. IUI is more commonly done when the man has a low sperm count, decreased sperm motility, or when infertility does not have an identifiable cause. The Fate of Non-absorbable Intraureteral Suture. (PDF, 233 KB) The Journal of Urology, 1973. For example, treatment for Hodgkin disease has been estimated to lead to infertility in as many as 80-100% of patients. Problems maintaining erection A man’s ability to maintain an erection is often linked to his hormone levels. Women receiving fertility treatment have a slightly higher risk of an ectopic pregnancy.