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The other cases are caused by a mixture of male and female problems or by unknown problems. In vitro fertilization (IVF). In this technique, your doctor places into your uterus that were fertilized in a dish. Sperm counts can fluctuate, so that several samples may be necessary. In this case synthetic FSH by injection or Clomid (Clomiphene citrate) via a pill can be given to stimulate follicles to mature in the ovaries.

The most common technique of artificial insemination in human beings is intrauterine insemination. Small, firm testicles The testes house a man’s sperm, so testicle health is paramount to male fertility. In some cases, laparoscopy for infertility will be indicated to look for pelvic scarring or endometriosis As in vitro fertilization success rates have improved dramatically over the past 20 years, laparoscopy for infertility is being done much less than before.

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Key to the diagnosis of male infertility is a semen analysis, which assesses primarily sperm numbers, sperm movement and sperm form. If sperm appears, these men should be offered cryopreservation.

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Temperature charting is a useful way of providing early clues about anovulation, and can help gynaecologists in their diagnosis. One of such conditions is a varicocele – one of the major causes of male infertility – that occurs when a vein that carries blood out of the scrotum dilates. A doctor injects sperm directly into the egg in a dish and then places it into your uterus.

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Sometimes, female infertility is related to a hormone problem. If the E2 and FSH levels are in the normal range, clomiphene citrate is the drug of choice, as previously described. Microsurgical Reversal of Tubal Sterilization: Factors Affecting Pregnancy Rate, with Long-term Follow-up. (PDF, 2 MB) Obstetrics & Gynecology, 1984. Surgical sperm aspiration: The sperm is removed from part of the male reproductive tract, such as the vas deferens, testicle, or epididymis. Nonchromosomal testicular failure Testicular failure that is nonchromosomal in origin may be idiopathic or acquired by gonadotoxic drugs, radiation, orchitis, trauma, or torsion. If you and your partner agree, extra embryos can be frozen and saved to use later. Women 35 and older should see their doctor after six months of trying. Environmental vs Genetic Sex Determination: A Possible Factor in Dinosaur Extinction? (PDF, 307 KB) Fertility and Sterility, 2004. Medication. If you have ovulation problems, you may be prescribed drugs such as clomiphene citrate (Clomid, Serophene), gonadotropins (such as Gonal-F, Follistim, Humegon and Pregnyl), or letrozole.