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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. Society and culture[edit] Perhaps except for infertility in science fiction, films and other fiction depicting emotional struggles of assisted reproductive technology have had an upswing first in the latter part of the 2000s decade, although the techniques have been available for decades.[76] Yet, the number of people that can relate to it by personal experience in one way or another is ever growing, and the variety of trials and struggles is huge.[76] Pixar's Up contains a depiction of infertility in an extended life montage that lasts the first few minutes of the film.[77] Other individual examples are referred to individual subarticles of assisted reproductive technology Ethics[edit] There are several ethical issues associated with infertility and its treatment. This relatively simple test involves the man providing a semen sample for a lab to evaluate.

4 mL and an increase in sperm density by 10-15 million sperm/mL, for up to 7 days. 40. Luteal phase support: - Should be offer luteal phase support with progesterone till 8 weeks of gestation. - Different form of progesterone with different routes of administration are available, RCT are taking place comparing efficacy of different forms. Generally, success rates lie between 40% and 60% per cycle. History-taking Couples with infertility problem should be interviewed separately as well as together, to bring out important facts that one partner might not wish to disclose to the other. The results of these tests help determine the best fertility treatment. Earn up to 6 CME credits per issue.     To see the full article, log in or purchase access.

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Tubal and peritoneal factor infertility treatment requires a good surgeon who is skilled in currently available techniques. [128] The patient's age and the severity of the tubal pathology play important roles in the selection of patients, as do any other infertility issues such as the presence of endometriosis and severe pelvic adhesions. The resulting embryos are then transferred into the uterus of the future mother, known as the recipient. Ovulation should be documented by serum progesterone level measurement at cycle day 21.

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Results of Microsurgical Vasoepididymostomy: Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Human Reproduction, 1989. WHAT'S THE DIFFERENCE BETWEEN PRIMARY AND SECONDARY STERILITY? These high-tech and expensive male infertility treatments give sperm an artificial boost to get into an egg.

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Adequate nutritional and health status to maintain nutrition and oxygenation of placenta and fetus. Cervical factors are also thought to play a minor role, although they are rarely the sole cause. Nonchromosomal testicular failure Testicular failure that is nonchromosomal in origin may be idiopathic or acquired by gonadotoxic drugs, radiation, orchitis, trauma, or torsion. This combination of laboratory test results may indicate ovarian insufficiency or diminished ovarian reserve. Some facts about conception and fertility A doctor can give advice and carry out some preliminary assessments. The likelihood of fertilization improves significantly for men with low sperm concentrations.