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Antibodies that attack sperm Anti-sperm antibodies are immune system cells that mistakenly identify sperm as harmful invaders and attempt to eliminate them. Most couples skip the invasive laparoscopic surgery and do treatments with intrauterine inseminations and then IVF if inseminations are not successful.

2 This encompasses couples with infertility and impaired ability to get pregnant, but it does not capture those who are not married, so actual numbers may be underestimated. In many cases, cornual obstruction diagnosed on HSG represents simple cornual spasm. There are a number of advantages to the patient with laparoscopic surgery versus the more common, open procedure. Microsurgery for Vasectomy Reversal and Vasoepididymostomy. (PDF, 13 MB) Urology, 1984.

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Up to 2 percent of men are thought to have suboptimal sperm. Chromosomal defects Hereditary disorders, such as Klinefelter’s syndrome (when a male is born with two X chromosomes and one Y chromosome instead of one X and one Y) impacts the normal development of the male reproductive organs. For conception to take place, several events should happen correctly and at exactly the right time. Afterward, the embryo transfer follows with a sterile special catheter into the cavum uteri.

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Myotonic dystrophy This is an autosomal dominant defect in the dystrophin gene that causes a delay in muscle relaxation after contraction. A blood test done on days 21 or 22 of a normal 28-day menstrual cycle can be used to test whether ovulation has occurred by measuring the progesterone level.

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Intracytoplasmic sperm injection is a process by which semen is washed and prepared for direct injection of one sperm into each egg collected during the IVF process. If the woman is over the age of 35 years old, she may be infertile if she has not become pregnant after 6 months of trying. Intrauterine insemination 33. Consider unstimulated intrauterine insemination as a treatment option in the following groups as an alternative to vaginal sexual intercourse: - people who are unable to, or would find it very difficult to, have vaginal intercourse - people with conditions that require specific consideration in relation to methods of conception (for example, after sperm washing where the man is HIV positive) - people in same-sex relationships Do not offer IUI for people with unexplained infertility, mild endometriosis or mild male factor. Always take in consideration the ages of the couple. Unexplained Even after a full fertility work-up, for one in five couples an exact cause of infertility cannot be determined. Stem cell therapy[edit] Nowadays, there are several treatments (still in experimentation) related with stem cell therapy. ICSI can be performed when sperm counts are extremely low or abnormal. For hysterosalpingography, water-soluble contrast material is supplied into the cavum uteri. Management of ejaculatory failure: - Can be of great value as in retrograde ejaculation. Theoretically, with this therapy, we can get artificial gamets in vitro.