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About 92 out of 100 couples who are trying to get pregnant do so within two years.[citation needed] Women become less fertile as they get older. The sperm moves up the cervix, towards the uterus, and into the fallopian tubes to reach and fertilize the egg.

The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. It is more successful in women who have previously been pregnant. 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.

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Those motile and viable sperm are then placed in a very small amount of solution, and then very gently and painlessly injected into the uterine cavity using a very thin, soft, and flexible catheter. Measures the LH in urine to detect if and when ovulation has occurred. 24 Other tests of ovarian reserve, such as the clomiphene (Clomid) challenge test, antral follicle count, and antimüllerian hormone level, are also generally performed to predict response to ovarian stimulation with exogenous gonadotropins and assisted reproductive technology. Blood test: This can assess hormone levels and whether a woman is ovulating. 34 Although intrauterine insemination has been shown to be equally effective as timed intercourse in unstimulated cycles, there is a modest increase in live birth rates when combined with ovarian stimulation. Reproductive Biology. (PDF, 147 KB) The Scientist, 1996.

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Only an additional 7% of couples will conceive in the second year. Practice Committee of American Society for Reproductive Medicine in collaboration with Society for Reproductive Endocrinology and Infertility. Surgical Intervention Uterine anomalies can be corrected through operative hysteroscopy under general anesthesia or conscious sedation. [116] Ideally, the procedure should be performed during the early follicular phase and under laparoscopic surveillance to decrease the risk of uterine perforation. These include advancing maternal age, severe male factor infertility (whereby ICSI can be used to fertilize the egg), and endometriosis, amongst many others. Women 35 and older should see their doctor after six months of trying.

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Your doctor will determine if you are at risk of having endometriosis based on a careful history, physical exam, and ultrasound. The resulting sperm count (also called spermiogram) allows identifying various pathologies. Vitrification of oocytes from endangered Mexican gray wolves (Canis lupus baileyi). (PDF, 319 KB) Theriogenology, 2010. The stimulation of follicular maturation is continued with HMG or FSH. The resulting embryos are then transferred into the uterus of the future mother, known as the recipient. However, there are side effects to using fertility drugs, such as ovarian hyperstimulation or the increased chance of developing ovarian tumors.  Surgical procedures: These surgeries correct abnormalities or blockages in the uterus and fallopian tubes. Testing for tubal patency and normalcy of the uterine cavity with a hysterosalpingogram The hysterosalpingogram, or HSG is done in order to assess the anatomy of the endometrial cavity of the uterus and the fallopian tubes. Blood test: This can assess hormone levels and whether a woman is ovulating.