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Options include intrauterine insemination (also known as IUI) or IVF with intracytoplasmic sperm injection (also known as ICSI). 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. For this reason, it’s recommended that couples who’ve been trying to get pregnant for over a year without success seek the advice of a doctor. Ovulation induction in polycystic ovary syndrome [published corrections appear in J Obstet Gynaecol Can. Are Sequence Family Variants Useful for Identifying Deletions in the Human Y Chromosome? (PDF, 377 KB) The American Journal of Human Genetics, 2004. In this condition, semen ejaculates backwards into the bladder instead of out the penis.

Signs of Potential Infertility in Women In women, changes in the menstrual cycle and ovulation may be a symptom of a disease related to infertility. Testicular Transplantation and Autotransplantation. (PDF, 8 MB) Chapter 22 of textbook, Extracorporeal and Microvascular Surgery, 1982.

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It may also prevent the sperm from reaching the egg. Sexually transmitted infections (STIs): Chlamydia can damage the fallopian tubes in a woman and cause inflammation in a man's scrotum. Vasectomy and its Microsurgical Reversal. (PDF, 17 MB) Urologic Clinics of North America, 1978.

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The vas deferens carries sperm from the epididymis to the ejaculatory duct and the urethra. A needle biopsy of the testicle can show whether a man is making healthy sperm. If there is a history of recurrent miscarriages (2 or more) a lupus anticoagulant (LAC) and anti-cardiolipin antibody (ACL) are often done, as well as other tests. If necessary, they refer patients to a fertility clinic or local hospital for more specialized tests.

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Mumps: If this occurs after puberty, inflammation of the testicles may affect sperm production. Microsurgery in Pediatric Urology. (PDF, 13 MB) The National Foundation, 1977. However, a complete blockage of the ovaries is rarely a cause of infertility. Drugs used for both women and men[67] include clomiphene citrate, human menopausal gonadotropin (hMG), follicle-stimulating hormone (FSH), human chorionic gonadotropin (hCG), gonadotropin-releasing hormone (GnRH) analogues, aromatase inhibitors, and metformin. On Regenerating the Ovary and Generating Controversy. (PDF, 37 KB) Cell, 2005. In order to accomplish this, the semen is washed with a solution safe to sperm and eggs, and then centrifuged to separate motile sperm from immotile sperm and other cells. Homologous insemination refers to the use of sperm from the patient's partner. This may take the form of miscarriages or extrauterine pregnancies. Depending on the sperm count, the couple is advised to have intercourse near the time of ovulation or to proceed with intrauterine insemination. Endometriosis can be treated with hormones that suppress the displaced endometrial tissue or the tissue can be removed by a surgical procedure. Risk factors for both men and women are the same and these include age, stress, being underweight or overweight, diet, smoking, alcohol and drugs. Measures the LH in urine to detect if and when ovulation has occurred.