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Human chorionic gonadotropin (Ovidrel, Pregnyl): Used together with clomiphene, hMG, and FSH, this can stimulate the follicle to ovulate. Showell MG, Brown J, Yazdani A, Stankiewicz MT, Hart RJ. After all, the necessity of reproduction is one of the few things on which both Darwin and the Bible agree. Couples who do not conceive after treatment for six cycles with documented ovulation should also consider referral to an infertility specialist. Intrauterine insemination 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. PPT Presentation Summary : Embryo cryopreservation (via ovulation induction) Oocyte cryopreservation.

Difficulties getting pregnant increase from 35 years of age. Epididymal Extravasation Following Vasectomy as a Cause for Failure of Vasectomy Reversal. (PDF, 22 MB)Fertility and Sterility, 1979. 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. The results of these tests help determine the best fertility treatment. Surgical procedures for women If the fallopian tubes are blocked or scarred, surgical repair may make it easier for eggs to pass through. The rising number of obese individuals may be due in part to an energy-rich diet as well as insufficient physical exercise.  In addition to other potential health risks, obesity can have a significant impact on male and female fertility.

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Small or firm testicles that feel "tight" may be another sign of hormone issues. Types of Infertility There are two types of infertility: primary and secondary. Investigations will be requested to prove the clinical diagnosis and to exclude other close possibilities.

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8 These studies are more sensitive and may delineate an abnormally formed uterus or structural problems, such as fibroids. Motility, adhesions and focusses of endometriosis can precisely be assessed by laparoscopy with blue instillation.

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Povey AC, Clyma JA, McNamee R, et al.; Participating Centres of Chaps-UK. Treatment of Renal Trauma by Angiographic Injection of Autologous Clot. (PDF, 422 KB) British Journal of Urology, 1974. A postcoital test to determine if sperm are able to move through the cervical mucus is still performed by some clinicians. Techniques for the Resolution of Testicular Obstruction. (PDF, 8 MB) Chapter 78 from textbook, Reconstructive Urology, 1992. It involves removing eggs from the ovary of a donor who has taken fertility drugs. Physical Problems A variety of physical problems can cause male infertility.  These problems either interfere with the sperm production process or disrupt the pathway down which sperm travel from the testes to the tip of the penis.  These problems are usually characterized by a low sperm count and/or abnormal sperm morphology.  The following is a list of the most common physical problems that cause male infertility: Variocoele: A varicocele is an enlargement of the internal spermatic veins that drain blood from the testicle to the abdomen (back to the heart) and are present in 15% of the general male population and 40% of infertile men.  These images show what a variocoele looks like externally and internally.  A varicocele develops when the one way valves in these spermatic veins are damaged causing an abnormal back flow of blood from the abdomen into the scrotum creating a hostile environment for sperm development.  Varicocoeles may cause reduced sperm count and abnormal sperm morphology which cause infertility.  Variococles can usually be diagnosed by a physical examination of the scrotum which can be aided by the Doppler stethoscope and scrotal ultrasound.  Varicocoele can be treated in many ways (see treatment section), but the most successful treatments involve corrective surgery. The predictive value of hysterosalpingography for tubal and peritoneal infertility factors. Pregnancy after Vasovasostomy for Vasectomy Reversal: A Study of Factors Followed for 10 Years. (PDF, 3 MB)Human Reproduction, 1989. Chlamydia test: Chlamydia can affect fertility, but antibiotics can treat it. ICSI with Epididymal and Testicular Sperm in Azoospermic Men. (PDF, 2 MB) From Treatment of Infertility: The New Frontiers, 1998. Outlook For couples who experience fertility problems and those who wish to have children at an older age, there are more options available than ever before. Intracytoplasmic Sperm Injection Today: A Personal Review. (PDF, 5 MB) Human Reproduction, 1998. Medical treatment for minimal to mild disease has not been shown to be of benefit.