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The evaluation of the azoospermic male: AUA best practice statement. Because of the antiestrogenic effect, CC may thicken the cervical mucus, creating an iatrogenic cervical factor that can be responsible for the lack of pregnancy in a patient who has otherwise ovulated. [165] Other adverse effects associated with CC are hot flashes, scotomas, dryness of the vagina, headache, and ovarian hyperstimulation, which, although rare, has been reported in patients who are sensitive to CC. [166, 167] Whether the use of CC increases the risk of ovarian cancer is unknown, although 2 articles illustrate a potential risk. [168] Other authorities disagree with this assumption. For a woman to conceive, certain things have to happen: vaginal intercourse must take place around the time when an egg is released from her ovary; the system that produces eggs has to be working at optimum levels; and her hormones must be balanced.[54] For women, problems with fertilisation arise mainly from either structural problems in the Fallopian tube or uterus or problems releasing eggs. Intracytoplasmic sperm injection is a process by which semen is washed and prepared for direct injection of one sperm into each egg collected during the IVF process. Consequently, amenorrhea, an anovulatory cycle, and corpus luteum deficiency can develop.

ARTICLES FROM THE 2000s Evaluation and Treatment of Male Infertility. (PDF, 17 MB) Clinical Obstetrics and Gynecology, 2000. Refinements in the Methodology of Injection for Transvaginal Gamete Intra-Fallopian Transfer. (PDF, 2 MB) Human Reproduction, 1994. ARTICLES FROM THE 2010s Ovarian Function 6 Years after Cryopreservation and Transplantation of Whole Sheep Ovaries. (PDF, 496 KB)Reproductive BioMedicine Online, 2010. 8,37 Women in WHO group II, including those who are overweight and who have polycystic ovary syndrome, can benefit from weight loss, exercise, and lifestyle modifications to restore ovulatory cycles and achieve pregnancy.

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Women older than 35 years or couples with known risk factors for infertility may warrant evaluation at six months. Furthermore, if there is a background of gynaecological or andrological issues in the couple, a study should be carried out as soon as possible. As treatment begins, couples may experience cycles of optimism and despair with each passing menstrual cycle. This technique involves an injection of a single healthy sperm directly injected into mature egg.

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Tubal occlusion A tubal occlusion means there is a blockage in the fallopian tube. They may go unnoticed until a man tries to have a baby.

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Ovulation disorders appear to be the most common cause of infertility in women. The fluid comes from the prostate gland, the seminal vesicle, and other sex glands. Before performing a tubocornual anastomosis, the patient should have a diagnostic laparoscopy associated with tubal cannulation by hysteroscopy. [139, 140, 141] If one tube remains open, anastomosis is not needed because pregnancy can be achieved in 50% of cases. Assisted Reproductive Technology: Using Ejaculated, Fresh, and Frozen-thawed Epididymal and Testicular Spermatozoa Gives Rise to Comparable Results after Intracytoplasmic Sperm Injection. (PDF, 5 MB) Fertility and Sterility, 1995. Intracytoplasmatic Sperm Injection (ICSI) An intracytoplasmatic sperm injection is also a form of artificial insemination. Intrauterine insemination 50% of women will conceive after 6 cycles. Half of the unsuccessful ones, will conceive with further 6 cycles. It is artificial introduction of semen inside the female’s uterus. Success rate varies, lie between 15% to 20% per cycle. The Relationship of Abnormal Semen Values to Pregnancy Outcome. (PDF, 770 KB) Chapter 10 from textbook, 1992. The Avon Longitudinal Study of Pregnancy and Childhood Study Team.