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If the sperm are of good quality and the mechanics of the woman's reproductive structures are good (patent fallopian tubes, no adhesions or scarring), a course of ovulation induction maybe used. Postcoital testing and antisperm antibody testing are no longer considered useful in this evaluation. One of the common causes of infertility is infrequent intercourse. Most couples (about 84%) who have regular sexual intercourse (that is, every two to three days) and who do not use contraception get pregnant within a year. Surgical procedures are now rarely used because of the high success rate of other infertility treatments.  IUI: Fertility doctors may also recommend intrauterine insemination or IUI.

An abnormal semen analysis warrants a further evaluation usually by a reproductive urologist. Infertility Tests History and physical examination – First and foremost, your fertility physician will take a very thorough medical and fertility history.

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Thus those who repeatedly spontaneously miscarry or whose pregnancy results in a stillbirth, or following a previous pregnancy or a previous ability to do so, are then not unable to carry a pregnancy to a live birth would present with secondarily infertile. (Trends in prevalence4).Infertility is when you cannot get pregnant after having unprotected, regular sex for six months to one year, depending on your age. Anatomic causes of infertility include acquired and congenital problems. If too many embryos develop, one or more can be removed. Successful Vitrification of Bovine and Human Ovarian Tissue. (PDF, 3 MB) Reproductive BioMedicine Online, 2009. These rates, of course, readjusted down for the older women with long durations of infertility [42].

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Hystersalpingography (HSG): - usually after failed successive cycles of ovulation induction, and in some centres after failed IUI. - good predictive but requires expertise. For men, a visual inspection of sexual characteristics can identify such endocrinopathies as hypogonadism (a condition resulting in atrophy or deficient development of secondary sexual characteristics) or Klinefelter’s syndrome (a genetic anomaly often associated with infertility).

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Sperm or egg donation: If necessary, sperm or eggs can be received from a donor. A small number of specimens have acceptable original concentrations of motile sperm but poor recoveries with the gradient system. 0 Definition of Sterility and Infertility With regard to terminology, infertility has to be distinguished from sterility. Intracytoplasmic sperm injection is a process by which semen is washed and prepared for direct injection of one sperm into each egg collected during the IVF process. Growth of Baby Kidneys Transplanted into Adults. (PDF, 1 MB) Archives of Surgery, 1976. Successful Pregnancy and Delivery after Calcium Ionophore Oocyte Activation in a Normozoospermic Patient with Previous Failed Fertilization after Intracytoplasmic Sperm Injection. (PDF, 57 KB) Fertility and Sterility, 2003. Algorithm for infertility evaluation. (ART = assisted reproductive technology.) Infertility Evaluation Figure 1. Editorial: The Cure and Proliferation of Male Infertility. (PDF, 2 MB) The Journal of Urology, 1998.