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The woman may be given a low dose of ovary stimulating hormones. 8 Involvement in group counseling and exercise is more effective than weight loss advice alone. Some women are infertile because their ovaries do not mature and release eggs. Around one third of couples have difficulty conceiving due to a low sperm count. 37 Clomiphene has also proven effective for ovulation induction in women with polycystic ovary syndrome. Computer-aided semen analysis (CASA) Introduced in the late 1980s, CASA uses a video camera and computer to visualize and analyze sperm concentration and movement.

Practice Committee of American Society for Reproductive Medicine. Infertility Tests History and physical examination – First and foremost, your fertility physician will take a very thorough medical and fertility history. A history and physical examination can help direct the evaluation. Y Chromosome Deletions in Azoospermic and Severely Oligozoospermic Men Undergoing Intracytoplasmic Sperm Injection after Testicular Sperm Extraction. (PDF, 336 KB) Human Reproduction, 1998.

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A thorough physical exam can detect varicocele and give clues to hormone problems. These numbers are comparable to those of other industrialized nations. Success rates for induction of ovulation vary considerably and depend on the age of the woman, the type of medication used, the presence of other infertility factors present in the couple and other reasons. Judaism and Reproductive Technology. (PDF, 2 MB) 2010.

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Once patients desire to have children, they proceed with stimulation of the ovaries, oocyte aspiration, and in vitro fertilization, but the embryos are transferred to a gestational carrier (see In Vitro Fertilization). This method takes several weeks and daily hormone injections are needed to ensure successful implantation.

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The application of artificial insemination usually is made after previous medicamentous treatment. It is an approach to disseminate the recommended medical care of infertile couple to the practicing clinicians. You made this process easier by being supportive and positive. Intrauterine insemination. For this procedure, after semen gets rinsed with a special solution, a doctor places it into your uterus when you're ovulating. Reproductive Biology. (PDF, 147 KB) The Scientist, 1996. New Treatment for Infertility Due to Congenital Absence of Vas Deferens. (PDF, 1 MB) The Lancet, 1987. Human chorionic gonadotropin (Ovidrel, Pregnyl): Used together with clomiphene, hMG, and FSH, this can stimulate the follicle to ovulate.