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Many uterine and tubal abnormalities detected by the HSG can be surgically corrected. Your physician will refer you to a reproductive urologist if appropriate. The Treatment of Azoospermia with Surgery and ICSI. (PDF, 4 MB) Chapter 10 from Male Fertility & Infertility, 1998. Sterilisation Some women choose to be sterilised if they don't want to have any more children.

The embryo is then placed in the uterus to begin a pregnancy. GIFT (gamete intrafallopian tube transfer) and ZIFT (zygote intrafallopian transfer).  Like IVF, these procedures involve retrieving an egg, combining it with sperm in a lab, and then transferring it back to your body.

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Congenital Absence of the Vas Deferens: The Fertilizing Capacity of Human Epididymal Sperm. (PDF, 3 MB) New England Journal of Medicine, 1990. When exercising their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or the people using their service. However, for women with moderate to severe endometriosis, surgical treatment then assisted reproductive therapy can be offered.

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It works in the following way: Clomiphene is an anti-estrogen. The sperm is washed in a fluid and the best specimens are selected. A review of systems and physical examination of the endocrine and gynecologic systems should be performed.

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Microsurgery for Vasectomy Reversal and Vasoepididymostomy. (PDF, 13 MB) Urology, 1984. 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. Evaluating the Infertile Male – Part 1. (PDF, 5 MB) Contemporary OB/GYN, 2004. This prevents the sperm from fertilizing the egg. If a woman has an ovulation disorder, she may ovulate infrequently or not all. Patients with azoospermia should have a postejaculatory urine sample analyzed for sperm, should be evaluated for ejaculatory duct obstruction, and should undergo a hormonal evaluation. The vas deferens carries sperm from the epididymis to the ejaculatory duct and the urethra. 4) Uterine fibroids: Fibroids are very common (approximately 40% of women may have them) and the mere presence alone does not necessarily cause infertility.