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The sperm can either be mixed with the eggs to allow normal fertilization (conventional insemination) or by injecting one sperm into each mature egg (ICSI). The severity usually depends on how near to the testicles the radiation was aimed. When Predictions Don’t Predict. (PDF, 549 KB) The Australian and New Zealand Journal of Obstetrics and Gynaecology, 1991. Thus, pelvic ultrasonography has become an important tool for monitoring ovulation induction.

HMG contains equal quantities of FSH and LH and are administered intramuscularly. Apparent Fertility of Human Spermatozoa from the Caput Epididymidis. (PDF, 4 MB) Journal of Andrology, 1989.

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Passive smoking has also been linked to lower fertility. Production of the First Offspring from Oocytes Derived from Fresh and Cryopreserved Pre-antral Follicles of Adult Mice. (PDF, 2 MB) Reproductive BioMedicine Online, 2007.

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IUI is more commonly done when the man has a low sperm count, decreased sperm motility, or when infertility does not have an identifiable cause. Chemotherapy: Some chemotherapy drugs can result in ovarian failure. In cases when the quality of sperm is very poor, or sperm is completely absent in the ejaculate (azoospermia), donor’s sperm can be used (if culturally acceptable).

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The reduced release of gonadotropin is often triggered by stress, physical strain such as high-performance sports, and anorexia nervosa. Erectile dysfunction or premature ejaculation: Medication, behavioral approaches, or both may help improve fertility. Symptoms can also depend on what is causing the infertility. Used by some clinicians to evaluate the motility of the sperm and its ability to travel through the cervical mucus. Problems with sperm If a man makes too few sperm or none at all, the woman cannot become pregnant. 24 Other tests of ovarian reserve, such as the clomiphene (Clomid) challenge test, antral follicle count, and antimüllerian hormone level, are also generally performed to predict response to ovarian stimulation with exogenous gonadotropins and assisted reproductive technology. Microsurgery and Andrology. (PDF, 5 MB) Chapter from textbook, 1991. By the end of this step, most of healthcare professionals will be able to sketch out their provisional diagnosis. Known male factor semen abnormalities: If a male partner has a history of infertility with a prior partner, or if there are abnormalities on his semen analysis, then we advise earlier fertility evaluation, ideally within 6 months of attempting pregnancy.