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Hystersalpingography (HSG): - usually after failed successive cycles of ovulation induction, and in some centres after failed IUI. - good predictive but requires expertise. Not getting pregnant The primary sign of infertility is not getting pregnant after trying for a certain length of time. If a semen analysis is found to be abnormal, generally it is first repeated to confirm the abnormality.

According to the literature survey, the most common causes of infertility are: male factor [5,7-9,13-15] such as sperm abnormalities [9,13,15], female factor [7-9,14-16] such as ovulation dysfunction [7,8] and tubal pathology [7-9], combined male and female factors [7,9,14,15] and unexplained infertility; where no obvious cause could be detected [7-9]. A decreased testosterone level with an increased FSH level points to primary hypogonadism. Semen and sperm Sometimes the sperm cannot travel effectively to meet the egg. On the day of ovulation, a mucus sample is taken after intercourse. 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). Causes of this kind of infertility include: Retrograde ejaculation.

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What’s on the Mind of IVF Consumers? (PDF, 627 KB) Reproductive BioMedicine Online, 2009. The most common identifiable causes of female fertility problems are outlined below: • Ovulatory dysfunction, (or anovulation) where an egg is not released from the ovary every month, is the single most common cause of female infertility.

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The procedure is performed by interventional radiology and requires overnight admission for the patient. [125] It is NOT intended for patients who desire fertility. Management of the infertile couple: an evidence-based protocol. By the end of this step, most of healthcare professionals will be able to sketch out their provisional diagnosis. Silent Sorority: A Barren Woman Gets Busy, Angry, Lost and Found.I was 26 years old when I was first diagnosed with infertility. A doctor injects sperm directly into the egg in a dish and then places it into your uterus. Fertility: assessment and treatment for people with fertility problems.

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Fertility awareness methods are used to discern when these changes occur by tracking changes in cervical mucus or basal body temperature. Eating disorders: If an eating disorder leads to serious weight loss, fertility problems may arise. Women with anovulation may be treated in the primary care setting with clomiphene to induce ovulation. Seventy-five percent of patients have testicular atrophy and primary testicular failure due to degeneration of the seminiferous tubules. Microsurgery of the Male Genitalia for Infertility. (PDF, 8 MB) Chapter 59 from Reconstructive Urologic Surgery, 1994. Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatment.