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If this is unsuccessful, the decision which form of artificial insemination is going to be used is made individually. 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. As the rate of getting spontaneous pregnancy among infertile or subfertile couples is lower than that among normal fertile population, it is recommended to carry out the following diagnostic, evidence-based, work-up to detect any hidden treatable cause.

Microsurgery in Clinical Urology. (PDF, 5 MB) Urology, 1975. New Treatment for Infertility Due to Congenital Absence of Vas Deferens. (PDF, 1 MB) The Lancet, 1987. More than 60% of sperm should be normal, and less than 2-3% should be immature.

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These injections are taken nightly, typically for 5 – 10 days, and act directly on the cells of the ovary to stimulate egg development. If you’re worried about your fertility, the best thing to do is talk to your doctor. 42 However, none of these methods has been proven to increase pregnancy rates when used to predict timing of intercourse.

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For conception, sperm must reach the cervix, penetrate the cervical mucus, migrate up the uterus to the fallopian tube, undergo capacitation and the acrosome reaction to digest the zona pellucida of the oocyte, attach to the inner membrane, and release its genetic contents within the egg. Fertilizing Capacity of Epididymal and Testicular Sperm with ICSI. (PDF, 5 MB) Frontiers in Endocrinology, 1995.

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Products include enzymes and proteases to liquefy the seminal coagulum. A British study found that patients valued primary care physicians who were well informed about infertility and the treatment process. Patients with this type of uterus can have a normal term pregnancy. Causes include: Surgery: Pelvic surgery can sometimes cause scarring or damage to the fallopian tubes. Surgical Management of Male Infertility. (PDF, 2 MB) Chapter 12 from textbook, Male Infertility, 1992. In terms of deliveries per egg retrieval, GIFT has a higher success rate than IVF regardless of the woman’s age – approximately 28%. Medications Testosterone replacement therapy, long-term anabolic steroid use, cancer medications (chemotherapy), certain antifungal medications, some ulcer drugs and certain other medications can impair sperm production and decrease male fertility. ZIFT is often called “tubal embryo transfer.” As with IVF, the actual fertilization of the eggs is observed and confirmed in the laboratory. Hysterosalpingography: Fluid is injected into the woman's uterus and X-rays are taken to determine whether the fluid travels properly out of the uterus and into the fallopian tubes. Ovarian Transplantation between Monozygotic Twins Discordant for Premature Ovarian Failure. (PDF, 315 KB) The New England Journal of Medicine, 2005. A history and physical examination can help direct the evaluation.