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In natural intercourse, only a fraction of the sperm make it into the woman’s genital tract. They include: Clomifene (Clomid, Serophene): This encourages ovulation in those who ovulate either irregularly or not at all, because of PCOS or another disorder.

Through this process, gaps in knowledge and key areas of research required in developing countries and low resource settings will be identified. MESA or TESA? (PDF, 115 KB) Human Reproduction, 1996. Small, firm testicles The testes house a man’s sperm, so testicle health is paramount to male fertility.

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If the woman is aged over 35 years, the couple may wish to see a doctor earlier, because fertility testing can take time, and female fertility starts to drop when a woman is in her 30s. In many instances, more than one hysteroscopy is required for total resection. This can be done by a urine test, basal body temperature chart, progesterone test and/or endometrial biopsy. Females[edit] The following causes of infertility may only be found in females. Men with this type of male infertility have normal sperm in the testicles.

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Allocation of medical resources that could be used elsewhere The legal status of embryos fertilized in vitro and not transferred in vivo. (See also beginning of pregnancy controversy). Counseling about options should be offered to couples who are not physically able to conceive (i.e., same-sex couples or persons lacking reproductive organs). If there's a problem with the mucus, it can make it harder to conceive. The use of Epididymal and Testicular Sperm for ICSI. (PDF, 1 MB) From IX World Congress on In Vitro Fertilization and Alternated Assisted Reproduction, 1995.

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Microsurgery of the Male Genitalia for Infertility. (PDF, 8 MB) Chapter 59 from Reconstructive Urologic Surgery, 1994. Seminoma Discovered in Two Males Undergoing Successful Testicular Sperm Extraction for Intracytoplasmic Sperm Injection. (PDF, 807 KB) Human Reproduction, 1995. Small or firm testicles that feel "tight" may be another sign of hormone issues. Due to the relative high cost of the equipment required, however, it has not become commonplace in most traditional practices today but rather limited to specialty-type practices. Transvaginal ultrasound – Ultrasound is an important tool in evaluating the structure of the uterus, tubes, and ovaries. Treatment of Hemorrhage from Renal Trauma by Angiographic Injection of Clot. (PDF, 1 MB) The Journal of Urology, 1978. Alkalinizing the urine before the procedure is necessary. Certain medical conditions such as diabetes, thyroid disease and anemia may also affect fertility.