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Fibroids that distort the uterine cavity have an impact on the ability of an embryo to implant and should be removed surgically. Fallopian tubes that are patent and will function to permit the sperm and ovum to meet and allow migration of the conceptus to the uterus.

Vause TD, Cheung AP, Sierra S, et al.; Society of Obstetricians and Gynecologists of Canada. Choose a single article, issue, or full-access subscription. The more fetuses there are, the higher the risk of premature labor.

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Seminoma Discovered in Two Males Undergoing Successful Testicular Sperm Extraction for Intracytoplasmic Sperm Injection. (PDF, 807 KB) Human Reproduction, 1995. IVF treatment may be suggested if IUI is not successful or appropriate, or if female infertility is a contributing problem. Tubal occlusion A tubal occlusion means there is a blockage in the fallopian tube. Treatment Possibilities: Male Infertility Surgical treatment may be successful in some cases, such as varicocele. Evaluation of cervical mucus is unreliable; therefore, investigation is not helpful with the management of infertility.

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Postcoital testing and antisperm antibody testing are no longer considered useful in this evaluation. Male fertility starts declining in their thirties, while women older than 35 years may experience problems conceiving. Ovulation induction and intrauterine insemination are used after completion of the treatment in hopes of expediting the establishment of a pregnancy before relapse of the disease. [39, 157, 158] Treatment of Ovarian Factors Ovulation induction is the appropriate treatment for infertile patients who have dysfunction of the hypothalamic-pituitary-ovarian axis.

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Treatment of the Normal Infertile Couple The prognosis for the normal infertile couple is poor and unpredictable. This improves the chances that the embryo will implant at, or attach to, the wall of the uterus. This similarity is sufficient to achieve binding by estrogen receptors, including the receptors of the hypothalamus. Evaluation of the uterus and fallopian tubes can be performed by hysterosalpingography in women with no risk of obstruction. A doctor or WHNP takes a medical history and gives a physical examination. Checking the woman’s fallopian tubes to make sure they are not blocked. They are usually young patients with a history of polycystic ovarian syndrome or oligo-ovulation who responded with elevated E2 levels (3000 pc/mL) and multiple follicles (>15) and patients in whom the ovulation has been triggered by the administration of exogenous hCG. [196, 197] Ovarian hyperstimulation syndrome usually has 2 phases. Treatment of Male-factor Infertility. (PDF, 10 MB) Chapter 9 from Progress in Infertility, 1993. Temporal relationship and reliability of the clinical, hormonal, and ultrasonographic indices of ovulation in infertile women. Transplantation of Rat Kidneys with Acute Tubular Necrosis into Salt-loaded and Normal Recipients. (PDF, 2 MB)Surgery, 1975.