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3) Insemination: Intrauterine insemination, also known as IUI, is a process by which sperm is washed and prepared for placement into the uterine cavity, therefore bypassing the cervix and bringing a higher concentration of motile sperm closer to the tubes and ovulated egg. In reproductive medicine, the most common surgical procedures are laparoscopy, hysteroscopy, and abdominal myomectomy (removal of uterine fibroids).

The surgeon can remove implants and scar tissue, and this may reduce pain and aid fertility. Factors affecting Fertility Frequency/Timing of sexual intercourse: - Every 2 to 3 days optimises the chance of pregnancy Obesity: - Women who have BMI of over 30 should be informed that they are likely to take longer to conceive and will affect treatment success rates. Ovulation induction is somewhat different from controlled ovarian hyperstimulation, which involves the use of some of the same medications to stimulate the development of multiple mature follicles and eggs in order to increase pregnancy rates with various infertility treatments.

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Patients who do not ovulate because of a fault in the pituitary gland may receive this drug as an injection. The World Health Organization (WHO) published reference ranges for semen testing in 2010. [45] These include “lower reference limits” representing the 5th percentiles for semen characteristics. [46] Note that the lower reference limits do not serve as a cut-point between “fertile” and “infertile.” Volume Normal ejaculate volume is 1.

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As the rate of getting spontaneous pregnancy among infertile or subfertile couples is lower than that among normal fertile population, it is recommended to carry out the following diagnostic, evidence-based, work-up to detect any hidden treatable cause. Sign up for the free AFP email table of contents.Fertility Articles – PDF Archive | Infertility Center If you have any questions, you may call us at  (314) 576-1400.

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Microsurgery Successful in Vasectomy Reversals. (PDF, 156 KB) The New York Times, 1975. This can help a man who cannot ejaculate normally, for example, because of a spinal cord injury. Ovarian hyperstimulation syndrome (OHSS) usually results from taking medications to stimulate the ovaries, such as clomifene and gonadotrophins. Article Sections Infertility is defined as the inability to achieve pregnancy after one year of regular, unprotected intercourse. This abnormality is usually surgically corrected in infancy. Clean, Intermittent Self-catheterization in the Treatment of Urinary Tract Disease. (PDF, 2 MB) The Journal of Urology, 1972. 3,4  Infertility may arise from male factors, female factors, or a combination of these (Table 15–8). London, United Kingdom: National Institute for Health and Clinical Excellence (NICE); February 2013:1–63. (Clinical guideline no. Female and male factors are equally responsible for infertility. Some causes are more common in some countries than others, such as pelvic inflammatory diseases (PID) and sexually transmitted infections (STI) in Africa [10]. 3,4  Infertility may arise from male factors, female factors, or a combination of these (Table 15–8).