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To verify azoospermia, the semen should be centrifuged and evaluated under a light microscope for the presence of sperm. Although many of these can be treated through surgery or hormonal substitutions, some may be indefinite.[59] Infertility associated with viable, but immotile sperm may be caused by primary ciliary dyskinesia. The physician or WHNP may also suggest using a conception cap cervical cap, which the patient uses at home by placing the sperm inside the cap and putting the conception device on the cervix, or intrauterine insemination (IUI), in which the doctor or WHNP introduces sperm into the uterus during ovulation, via a catheter.

Surgeons who choose this hand-assist technique feel it reduces operative time significantly versus the straight laparoscopic approach. In these cases the duration of the infertility is the best parameter by which to judge the chances of future natural conception; the longer the time of infertility then the sooner intervention should be considered.Summary Infertility is a term doctors use if a man hasn't been able to get a woman pregnant after at least one year of trying. Some facts about conception and fertility A doctor can give advice and carry out some preliminary assessments. Epididymal and Testicular Spermatozoa and Intracytoplasmic Sperm Injection. (PDF, 7 MB) Assisted Reproduction Reviews, 1996.

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It can also help if a man has severe erectile dysfunction. It involves: A vagina capable of receiving sperm. If they're damaged, it can seriously affect the quality of your semen. Generally, evaluation should be offered to couples who have not conceived after one year of unprotected vaginal intercourse.

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The woman may be given a low dose of ovary stimulating hormones. This period is shorter when the female is aged between 35 and 40 and treatment should not be put off in those cases where the woman is aged over 40. Expression of HBD1 is reduced in individuals with asthenozoospermia and leukocytospermia. Microscopic Technique for Reversal of Vasectomy. (PDF, 3 MB) Surgery, gynecology & obstetrics, 1976. Microsurgical Epididymal Sperm Aspiration and Assisted Reproductive Techniques. (PDF, 4 MB) Frontiers in Human Reproduction, 1991. RE: The Impalpable Testis: A Rational Approach to Management. (PDF, 389 KB) The Journal of Urology, 1979.

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Human chorionic gonadotropin (Ovidrel, Pregnyl): Used together with clomiphene, hMG, and FSH, this can stimulate the follicle to ovulate. Pregnancies after Testicular Sperm Extraction and Intracytoplasmic Sperm Injection in Non-obstructive Azoospermia. (PDF, 3 MB) Human Reproduction, 1995. The Three-kidney Rat Model. (PDF, 2 MB) Investigative Urology, 1974. Requirements for Female Fertility (Continued) Other requirements for female fertility include: Adequate sexual drive and sexual function to permit coitus. Because cyclicity in queens is determined by photoperiod, lighting conditions should be appropriate for several months before congenital anestrus is diagnosed and exogenous hormones are administered. PID is a major cause of tubal infertility and can lead to ectopic pregnancy, which may further damage the reproductive system. It is also important to increase the frequency of intercourse by having well-timed sex regularly to improve fertility. 8,26,27 As opposed to laparoscopy or hysteroscopy, hysterosalpingography is a minimally invasive procedure with potentially therapeutic effects and should be considered before more invasive methods of assessing tubal patency.