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If there is a history of recurrent miscarriages (2 or more) a lupus anticoagulant (LAC) and anti-cardiolipin antibody (ACL) are often done, as well as other tests. Cervical insemination has almost been abandoned because of its low success and has been relegated only to cases in which the sperm count is normal, such as in artificial insemination using donor sperm or if the sample has elevated white cells. Is Congenital Bilateral Absence of Vas Deferens a Primary Form of Cystic Fibrosis? 8 If a woman has irregular cycles, the testing should be conducted later in the cycle, starting seven days before presumed onset of menses, and repeated weekly until menses. Medications, treatments, and drugs Some drugs can affect fertility in a woman.

Histological dating of timed endometrial biopsy tissue is not related to fertility status. In many cases, cornual obstruction diagnosed on HSG represents simple cornual spasm.

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The cause of sterility can also be found in the tubes. However, there are various scenarios where one may be advised to seek help earlier.

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Possible problems could be that the egg is not released at the optimum time for fertilization, that it may not enter the fallopian tube, sperm may not be able to reach the egg, fertilization may fail to occur, transport of the zygote may be disturbed, or implantation fails. In some cases, the cause of infertility or subfertility could not be suspected from the history taking and clinical examination.

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Thus, pelvic ultrasonography has become an important tool for monitoring ovulation induction. Treatment Possibilities: Male Infertility Surgical treatment may be successful in some cases, such as varicocele. The procedure is done during the premenstrual phase, approximately 12 days after presumed ovulation to see if the endometrium undergoes expected changes. Ultrasound can detect uterine abnormalities such as fibroids and polyps, distal fallopian tube occlusion, and ovarian abnormalities including ovarian cysts. You can find much more information about your privacy choices in our privacy policy. Apparent Fertility of Human Spermatozoa from the Caput Epididymidis. (PDF, 4 MB) Journal of Andrology, 1989. Tests and trials are available, but testing does not always reveal a specific cause.