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Etiology of Sterility Causes of sterility can be manifold and diverse. Some personal habits are considered risk factors for infertility, such as excess alcohol intake [11] and cigarette smoking [12]. 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. If the sperm are of good quality and the mechanics of the woman's reproductive structures are good (patent fallopian tubes, no adhesions or scarring), a course of ovulation induction maybe used.

4 IU per L]) can help differentiate between primary and secondary disorders. Clinical examination Full clinical examination of both partners usually stands for the underlying physical problem [17-22,24-26], (Appendix 2). Varicocele A varicocele is a swelling of the veins that drain the testicle, which can impact sperm quality. 3) Tubal occlusion (blockage): As discussed previously, a history of sexually transmitted infections including chlamydia, gonorrhea, or pelvic inflammatory disease can predispose a woman to having blocked fallopian tubes.

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Effectiveness of the postcoital test: randomised controlled trial. This can help a man who cannot ejaculate normally, for example, because of a spinal cord injury. Counseling Fertility clinics should address the psycho-social and emotional needs of infertile couples as well as their medical needs.

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Low sperm mobility (motility): The sperm cannot "swim" as well as they should to reach the egg. Ultrasound: This may reveal issues such as ejaculatory duct obstruction or retrograde ejaculation. MESA or TESA? (PDF, 115 KB) Human Reproduction, 1996.

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Conventional IVF vs ICSI (Intra Cytoplasmic Sperm Injection) for Patients Requiring Microsurgical Epididymal Sperm Aspiration (MESA). (PDF, 4 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. 8,46 Obesity impairs fertility and the response to fertility treatments, including in vitro fertilization; therefore, it is advisable to counsel patients who are obese to lose weight before conception or infertility treatments. 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. 32. Semen used is filtered for washing and grading through one of various processes use. The extra heat caused by the vein can lead to low sperm count and impaired sperm movement. Is there a way to increase a couple’s chance of getting pregnant? Diagnosis and Management of Hypogonadism, Infertility, and Impotence. (PDF, 13 MB) Chapter 22 of textbook,Male Reproductive Dysfunction, 1986.