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Earn up to 6 CME credits per issue.     To see the full article, log in or purchase access. Intrauterine insemination (IUI): At the time of ovulation, a fine catheter is inserted through the cervix into the uterus to place a sperm sample directly into the uterus. As an antiestrogen, CC requires that the patient have some circulating estrogen levels; otherwise, the patient will not respond to the treatment. A small number of specimens have acceptable original concentrations of motile sperm but poor recoveries with the gradient system. This applies to the ability to conceive with her eggs, but not with donor eggs. Women with anovulation may be treated in the primary care setting with clomiphene to induce ovulation.

Infertility caused by DNA defects on the Y chromosome is passed on from father to son. Primary Lymphoma of Kidney. (PDF, 586 KB) The Journal of Urology, 1973.

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In some cases, the cause of infertility or subfertility could not be suspected from the history taking and clinical examination. Many more couples, however, experience involuntary childlessness for at least one year: estimates range from 12% to 28%.[4] Male infertility is responsible for 20–30% of infertility cases, while 20–35% are due to female infertility, and 25–40% are due to combined problems in both parts.[2][5] In 10–20% of cases, no cause is found.[5] The most common cause of female infertility is ovulatory problems, which generally manifest themselves by sparse or absent menstrual periods.[6] Male infertility is most commonly due to deficiencies in the semen, and semen quality is used as a surrogate measure of male fecundity.[7] Women who are fertile experience a natural period of fertility before and during ovulation, and they are naturally infertile for the rest of the menstrual cycle.

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Infertility: Female and Male Factors It is very important to note that infertility can occur as a result of one or more male or female factors. Varicoceles are repaired with surgery to block off the abnormal veins. Electric or vibratory stimulation to achieve ejaculation: Ejaculation is achieved with electric or vibratory stimulation. Assisted Reproductive Technology: Using Ejaculated, Fresh, and Frozen-thawed Epididymal and Testicular Spermatozoa Gives Rise to Comparable Results after Intracytoplasmic Sperm Injection. (PDF, 5 MB) Fertility and Sterility, 1995. The physician or WHNP may also suggest using a conception cap cervical cap, which the patient uses at home by placing the sperm inside the cap and putting the conception device on the cervix, or intrauterine insemination (IUI), in which the doctor or WHNP introduces sperm into the uterus during ovulation, via a catheter. Use of clomiphene citrate in infertile women: a committee opinion.

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Sex any time in the five days before ovulation can create a pregnancy. Investigations will be requested to prove the clinical diagnosis and to exclude other close possibilities. Lifetime prevalence of infertility and infertility treatment in the UK: results from a population-based survey of reproduction. Urofollitropin (eg, Bravelle) contains 75 U of FSH. Bromocriptine is used in cases when anovulation is caused by an elevated level of the hormone prolactin. Effectiveness of the postcoital test: randomised controlled trial. Wenn Sie z. B. nach einem bestimmten Film suchen, nutzen wir Ihre Suchdaten und Ihren Standort zur Anzeige von Kinos in Ihrer Nähe. Epidemiology[edit] Prevalence of infertility varies depending on the definition, i.e. on the time span involved in the failure to conceive. Malformation of the eggs themselves may complicate conception.