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3) Insemination: Intrauterine insemination, also known as IUI, is a process by which sperm is washed and prepared for placement into the uterine cavity, therefore bypassing the cervix and bringing a higher concentration of motile sperm closer to the tubes and ovulated egg. Close Testing for Women Women should track their ovulation by recording their basal body temperature for several months, checking their cervical mucus using a home ovulation test kit. Intrauterine insemination 33. Consider unstimulated intrauterine insemination as a treatment option in the following groups as an alternative to vaginal sexual intercourse: - people who are unable to, or would find it very difficult to, have vaginal intercourse - people with conditions that require specific consideration in relation to methods of conception (for example, after sperm washing where the man is HIV positive) - people in same-sex relationships Do not offer IUI for people with unexplained infertility, mild endometriosis or mild male factor. Always take in consideration the ages of the couple. No periods It’s not uncommon for women to have an off month here and there. Microsurgery in Pediatric Urology. (PDF, 13 MB) The National Foundation, 1977. Ejaculatory Incompetence: This rare psychological condition prevents men from ejaculating during sexual intercourse even though they can ejaculate normally through masturbation.  This condition sometimes responds well to behavioral therapy; if this technique does not work, artificial insemination can be employed using an ejaculate from masturbation.Continued Hysteroscopy . In this procedure, your doctor places a hysteroscope into your uterus through your cervix.

Health problems such as mumps or hormone problems. Paternal age > or = 40 years: an important risk factor for infertility. Surgical Management of Male Infertility. (PDF, 2 MB) Chapter 12 from textbook, Male Infertility, 1992. Primary vs. secondary infertility[edit] Primary infertility is defined as the absence of a live birth for women who desire a child and have been in a union for at least 12 months, during which they have not used any contraceptives.[14] The World Health Organisation also adds that 'women whose pregnancy spontaneously miscarries, or whose pregnancy results in a still born child, without ever having had a live birth would present with primarily infertility'.[15] Secondary infertility is defined as the absence of a live birth for women who desire a child and have been in a union for at least 12 months since their last live birth, during which they did not use any contraceptives.[15] Thus the distinguishing feature is whether or not the couple have ever had a pregnancy which led to a live birth.

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When clomiphene binds to estrogen receptors in the hypothalamus, it leads to an increase release of an important signaling hormone called GnRH (gonadotropin releasing hormone). Semen analysis: A sample may be taken to test for sperm concentration, motility, color, quality, any infections, and whether any blood is present.

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If oligospermia or azoospermia is noted, hypogonadism should be suspected. 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. Cervical mucus problems  When you're ovulating, mucus in your cervix becomes thinner so sperm can swim through it more easily. Infertility is caused by primary testicular failure, and most patients are azoospermic.

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A review of systems and physical examination of the endocrine and gynecologic systems should be performed. Follicle-stimulating hormone (Gonal-F, Bravelle): This hormone is produced by the pituitary gland that controls estrogen production by the ovaries. Because sperm generation time is just over two months, it is recommended to wait three months before repeat sampling. Postcoital testing and antisperm antibody testing are no longer considered useful in this evaluation. Evaluating the Infertile Male – Part 1. (PDF, 5 MB) Contemporary OB/GYN, 2004. Wenn Sie z. B. nach einem bestimmten Film suchen, nutzen wir Ihre Suchdaten und Ihren Standort zur Anzeige von Kinos in Ihrer Nähe. Poor egg quality: Eggs that are damaged or develop genetic abnormalities cannot sustain a pregnancy.