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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. Female factor Dysfunction of the female reproductive organs is also apparent in around 40% of infertile couples. Antibodies that attack sperm Anti-sperm antibodies are immune system cells that mistakenly identify sperm as harmful invaders and attempt to eliminate them. The Leydig cells in the testicles control the LH, and the cells build androgens. Intrauterine insemination. For this procedure, after semen gets rinsed with a special solution, a doctor places it into your uterus when you're ovulating. The woman may be given a low dose of ovary stimulating hormones.

Teratozoospermia is when there are a large number of sperms with abnormal morphology. Antibodies that are bound to sperm decrease the sperm’s ability to penetrate the cervical mucus and bind to the zona pellucida. A laparoscopy can check the ovaries, fallopian tubes, and uterus for disease. Some of the features include: Visual magnification — use of a large viewing screen improves visibility Stabilization — Electromechanical damping of vibrations, due to machinery or shaky human hands Simulators — use of specialized virtual reality training tools to improve physicians' proficiency in surgery [33] Reduced number of incisions There has been a distinct lack of disclosure regarding nano-scale developments in keyhole surgery and remote medicine, a "disparity of disclosure" which does not correlate with the rapid advancements in both the medical and nanotechnology fields over the last two decades.[citation needed] Robotic surgery has been touted as a solution to underdeveloped nations, whereby a single central hospital can operate several remote machines at distant locations. It also shows if there are any abnormalities in the uterine cavity, such as polyps or submucous fibroids; or abnormalities of the tubes, such as evidence of salpingitis. One of the common causes of infertility is infrequent intercourse.

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Sperm count often returns to normal after stopping the medication. Incidence and main causes of infertility in a resident population (1,850,000) of three French regions (1988–1989). The couple should have sex at least every two days between the 10th and 18th day after the woman starts her period.

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These include: Infrequent menstrual periods: When a woman has regular menstrual periods, defined as regular cycles occurring every 21 to 35 days, this almost always indicates that she ovulates regularly. Poor egg quality: Eggs that are damaged or develop genetic abnormalities cannot sustain a pregnancy. In-vitro fertilization and donor insemination are major procedures involved. Once the follicular diameter reaches 18 mm and the E2 level is below 2000 pc/mL, ovulation is triggered by the administration of hCG (10,000 IU IM).

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Risk factors Risk factors that increase the risk include: Smoking significantly increases your risk of infertility Age: The ability to conceive starts to fall around the age of 32 years. Several studies have demonstrated that an increase in BMI is correlated with a decrease in sperm concentration, a decrease in motility and an increase DNA damage in sperm. Conventional In-vitro Fertilization vs Intracytoplasmic Sperm Injection for Patients Requiring Microsurgical Sperm Aspiration. (PDF, 3 MB) Human Reproduction, 1994. Some physical effects may also result from treatment. The severity usually depends on how near to the testicles the radiation was aimed. Gonadotropins can trigger ovulation when Clomid or Serophene don't work. In women, lead poisoning reduces conceptions and increases the risk of fetal wastage. The Relationship of Abnormal Semen Values to Pregnancy Outcome. (PDF, 770 KB) Chapter 10 from textbook, 1992.