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Primary Infertility Investigations

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Sperm can survive inside the female for up to 5 days, while an egg can be fertilized for up to 1 day after ovulation. If an endocrinopathy, such as hyperprolactinemia, is diagnosed, the underlying cause should be treated.

What’s on the Mind of IVF Consumers? (PDF, 627 KB) Reproductive BioMedicine Online, 2009. This can make it difficult for the embryo to implant. If necessary, they refer patients to a fertility clinic or local hospital for more specialized tests.

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Infertility Rate by Age

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It is better for a couple to see the doctor together. Patients should undergo an MRI or CT scan of the sella turcica for diagnostic purposes to determine whether a microprolactinoma or a macroprolactinoma is present. Infertility is caused by primary testicular failure, and most patients are azoospermic.

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Infertility is due to hypogonadotropic hypogonadism. Some respond by actively avoiding the issue altogether; middle-class men are the most likely to respond in this way.[21] In the United States some treatments for infertility, including diagnostic tests, surgery and therapy for depression, can qualify one for Family and Medical Leave Act leave. The results of these tests help determine the best fertility treatment.

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Clomiphene citrate for unexplained subfertility in women. IUI is more commonly done when the man has a low sperm count, decreased sperm motility, or when infertility does not have an identifiable cause. In vitro fertilization (IVF). In this technique, your doctor places into your uterus that were fertilized in a dish. In order to conceive, your sperm must be:  Highly concentrated — normally, there should be at least 15 million sperm in every ml of semen5  Moving well (motile) — a lashing tail helps your sperm to swim to your partner’s egg  Normally shaped — healthy sperm should be shaped like a streamlined tadpole  You may find that your semen contains a very low number of sperm (oligozoospermia), or no sperm at all (azoospermia). Pregnancy with Sperm Aspiration from the Proximal Head of the Epididymis: A New Treatment for Congenital Absence of the Vas Deferens. (PDF, 2 MB) Fertility and Sterility, 1988. A specimen is collected by masturbation into a clean, dry, sterile container or during coitus using special condoms (containing no spermicidal lubricants). Tests and trials are available, but testing does not always reveal a specific cause.


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See also
Infertility Support Groups Long Island
Aua Infertility Guidelines
Female Infertility Causes Pdf