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Semen is the milky fluid that a man's penis releases during orgasm. Ovulation disorders can be treated with ovulation-inducing drugs. For a woman to conceive, certain things have to happen: vaginal intercourse must take place around the time when an egg is released from her ovary; the system that produces eggs has to be working at optimum levels; and her hormones must be balanced.[54] For women, problems with fertilisation arise mainly from either structural problems in the Fallopian tube or uterus or problems releasing eggs.

ICSI with Epididymal and Testicular Sperm Retrieval. (PDF, 1 MB) Male Sterility and Motility Disorders: Etiological Factors and Treatment, 1998. Use of clomiphene citrate in infertile women: a committee opinion. 8 Intrauterine insemination and ovulation induction do not result in increased pregnancy rates in women with unexplained infertility. The normal working of the male reproductive system involves first the production of sufficient numbers of functional sperm cells and then the delivery of these sperm to the ejaculate. Women with regular menstrual cycles are likely to be ovulating and should be offered serum progesterone testing at day 21 to confirm ovulation. Endometriosis Endometriosis is when the tissue of the uterine lining grows outside of the uterus.

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Less common factors The following other factors may also be responsible for infertility in a smaller proportion of cases: • Genetic abnormalities within eggs, sperm or both • An abnormal uterine cavity, including the presence of fibroids or polyps • Immunological infertility, whereby either the male or female partner produces anti-bodies against sperm cells or implantation of an embryo • Abnormal cervical mucus which hinders the passage of sperm to the uterus and fallopian tubes Unexplained infertility Even when investigations have been extensive, some couples will have no reason with which to explain their infertility. As new technology becomes available, fertility treatment is now accessible to more people, and success rates and safety are improving all the time. This technique involves an injection of a single healthy sperm directly injected into mature egg.

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Microscopic Vasectomy Reversal. (PDF, 31 MB) Fertility and Sterility, 1977. The advent of computer chip-based television cameras was a seminal event in the field of laparoscopy.

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Although tubal disease was the original indication for IVF, many more indications have developed over the years. A sperm count of under 15 million is considered low. Infertility caused by DNA defects on the Y chromosome is passed on from father to son. A smaller amount may suggest a structural or hormonal problem leading to deficient semen production; 2) sperm concentration – normal concentration should be at least 20 million sperm per 1 ml of semen. It is said to be the most reliable way of confirming whether ovulation has occurred.[12] Women may also use ovulation predictor kits (OPKs) which detect the increase in luteinizing hormone (LH) levels that usually indicates imminent ovulation.