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When the eggs are mature, your doctor collects them with a device called a vaginal ultrasound probe. It can be done with a patient’s sperm, if possible.

The male partner can be evaluated for infertility or subfertility using a variety of clinical interventions, and also from a laboratory evaluation of semen.” (Semen manual, 5th Edition3). A small ejaculate volume may be observed in patients with retrograde ejaculation, absence of the vas deferens or seminal vesicles, ductal obstruction, hypogonadotropism, or poor sympathetic response. Tubal occlusion is a cause of infertility because an ovulated egg is unable to be fertilized by sperm or to reach the endometrial cavity.

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Gerrits T, Shaw M (2010). "Biomedical infertility care in sub-Saharan Africa: a social science review of current practices, experiences and view points". A urine sample must be collected immediately after ejaculation. In these methods, fertilization occurs inside the body.

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2) Medications to induce egg development and ovulation: The medications that help stimulate the ovary to develop mature eggs for ovulation come in two forms: pills taken by mouth and injections. Oei SG, Helmerhorst FM, Bloemenkamp KW, Hollants FA, Meerpoel DE, Keirse MJ. S. women, or 6% of the married population 15 to 44 years of age, reported infertility, and 6. Incidence and main causes of infertility in a resident population (1,850,000) of three French regions (1988–1989).

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As sperm move from the head to the tail, they mature and acquire fertilization capacity. In order to conceive, your sperm must be:  Highly concentrated — normally, there should be at least 15 million sperm in every ml of semen5  Moving well (motile) — a lashing tail helps your sperm to swim to your partner’s egg  Normally shaped — healthy sperm should be shaped like a streamlined tadpole  You may find that your semen contains a very low number of sperm (oligozoospermia), or no sperm at all (azoospermia). Damaged tubes may interfere with fertilization of the egg and its transport into the uterine cavity. Infertility is more likely in men who have had this condition. Surgery or embolization for varicoceles in subfertile men. Infertility Tests History and physical examination – First and foremost, your fertility physician will take a very thorough medical and fertility history. Sherman Silber: Be Fruitful and Multiply. (PDF, 6 MB) Lifestyles Magazine, 1999. Advances in assisted reproductive technologies, such as IVF, can offer hope to many couples where treatment is available, although barriers exist in terms of medical coverage and affordability. 2012;27(8):2396–2404.   Want to use this article elsewhere? Recent Advances in Male Reproductive Surgery. (PDF, 10 MB) Chapter 13 from Annual Progress in Reproductive Medicine, 1993. In patients with obstructive azoospermia and normal gonadotropin levels, sperm can be obtained through microsurgical epididymal sperm aspiration or testicular biopsy. [213] Fertilization of the oocytes is performed using IVF/intracytoplasmic sperm injection. Calcification of the Seminal Vesicles and Vas Deferens in a Uremic Patient. (PDF, 3 MB) The Journal of Urology, 1971. The impact of small or single polyps is more controversial. High-cost treatments are out of financial reach for some couples. Instructions for collecting the sample should include abstinence from ejaculation for 48 to 72 hours.