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Semen analysis – The semen analysis is the main test to evaluate the male partner. This can result from: A medical condition: This could be a testicular infection, cancer, or surgery. These include reduced pain due to smaller incisions, reduced hemorrhaging and shorter recovery time. Excess alcohol consumption: This may lower male fertility. VITRIKAS, MD, David Grant Medical Center Family Medicine Residency, Travis Air Force Base, California Am Fam Physician. 2015 Mar 1;91(5):308-314.   Patient information: See related handout on infertility, written by the authors of this article.   Related letter: Natural Procreative Technology for Treating Infertility This clinical content conforms to AAFP criteria for continuing medical education (CME).

Basal body temperatures are no longer considered a reliable indicator of ovulation, and are not recommended for evaluating ovulation. Sperm can survive as long as 5 days in the female genital tract. VITRIKAS, MD, David Grant Medical Center Family Medicine Residency, Travis Air Force Base, California Am Fam Physician. 2015 Mar 1;91(5):308-314.   Patient information: See related handout on infertility, written by the authors of this article.   Related letter: Natural Procreative Technology for Treating Infertility This clinical content conforms to AAFP criteria for continuing medical education (CME). The predictive value of hysterosalpingography for tubal and peritoneal infertility factors.

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Metformin (Glucophage): If Clomifene is not effective, metformin may help women with PCOS, especially when linked to insulin resistance. To ascertain a more precise assessment, a hysteroscopy of the uterus is run. Defects of tubules that transport sperm There are many different tubes that carry sperm.

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This indicates whether the fallopian tubes are open or blocked. Once again this may increase case lengths but costs are greatly reduced (ideal for developing countries) and widespread accidents of loose clips are eliminated.[citation needed] Gynecological diagnosis[edit] In gynecology, diagnostic laparoscopy may be used to inspect the outside of the uterus, ovaries, and fallopian tubes, as, for example, in the diagnosis of female infertility.

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Medical treatments[edit] Medical treatment of infertility generally involves the use of fertility medication, medical device, surgery, or a combination of the following. They can be blocked due to numerous causes, including infections,  trauma or abnormal development, such as with cystic fibrosis or similar inherited conditions. Sermondade N, Faure C, Fezeu L, Lévy R, Czernichow S; Obesity-Fertility Collaborative Group. Previous sterilization treatment: In women who have chosen to have their fallopian tubes blocked, the process can be reversed, but the chances of becoming fertile again are not high. Quantitative Evaluation of Spermatogenesis by Testicular Histology in Men with Congenital Absence of the Vas Deferens Undergoing Epididymal Sperm Aspiration. (PDF, 3 MB) Human Reproduction, 1990. Ejaculatory Duct Obstruction. (PDF, 3 MB) The Journal of Urology, 1980.