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A doctor or WHNP takes a medical history and gives a physical examination. The problem is getting the sperm where they need to go.

The following problems are possible: Low sperm count: The man ejaculates a low number of sperm. It usually involves treatment implication counselling, emotional support counselling, and therapeutic counselling [38,39]. This allows for the diagnosis and treatment of conditions such as endometriosis with one procedure. Hypospadias: The urethral opening is under the penis, instead of its tip.

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Further backup measures are sufficient thrombosis prophylaxis with heparin and the support of the renal function. Studies show that the IUI is most successful when it is coupled with fertility drugs to enhance ovulation, with success rates between 5% and 20% per cycle.

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A relationship also exists between obesity and erectile dysfunction (ED). 43 Other low-cost methods of monitoring for ovulation, although less effective, include basal body temperature measurements and cervical mucus changes.

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Image: “ICSI of marmoset oocytes after in vitro maturation.” by openi. It is often defined as not conceiving after 12 months of regular sexual intercourse without the use of birth control. Some methods may be used in concert with other methods. Povey AC, Clyma JA, McNamee R, et al.; Participating Centres of Chaps-UK. 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. 1,2 However, if your partner is 35 years old or over, you or your partner may be considered infertile if you haven’t conceived after 6 months of unprotected sex. 6,8 It is important for primary care physicians to be familiar with the workup and prognosis for infertile couples.