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The most common technique of artificial insemination in human beings is intrauterine insemination. 8,26,27 As opposed to laparoscopy or hysteroscopy, hysterosalpingography is a minimally invasive procedure with potentially therapeutic effects and should be considered before more invasive methods of assessing tubal patency. Gonadotropin-releasing hormone (Gn-RH) analogs: These can help women who ovulate too early—before the lead follicle is mature—during hmG treatment.

Bensdorp AJ, Cohlen BJ, Heineman MJ, Vandekerckhove P. 34 Although intrauterine insemination has been shown to be equally effective as timed intercourse in unstimulated cycles, there is a modest increase in live birth rates when combined with ovarian stimulation. Gracia CR, Sammel MD, Coutifaris C, Guzick DS, Barnhart KT. Treatment of hydrosalpinx (distal tubal obstruction) with salpingostomy can be performed through microsurgery or operative laparoscopy. What Forms of Male Infertility are there left to Cure? (PDF, 2 MB) Human Reproduction, 1995.

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With irregular periods, the cycle is so unpredictable that it’s impossible to know when the next one will come. Histologic endometrial dating is not considered reliable nor is it predictive of fertility. Being obese or overweight: This can increase the risk of infertility in women as well as men. Theoretically, with this therapy, we can get artificial gamets in vitro.

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Diagnostic evaluation of the infertile female: a committee opinion. Evaluating the Infertile Male – Part 1. (PDF, 5 MB) Contemporary OB/GYN, 2004. Idiopathic Hypercalciuria. (PDF, 1 MB) New England Journal of Medicine, 1971. The main approach to correcting or removing these uterine abnormalities is by hysteroscopy, a surgical method by which a narrow scope with a camera is placed within the uterine cavity. Only active, undamaged sperm are chosen for injections.

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Practice Committee of American Society for Reproductive Medicine. Assessment of ovarian reserve This is a very important assessment of a woman's remaining egg supply It is done with blood testing and ultrasound: Blood - day 3 FSH, LH and estradiol hormone testing and AMH hormone levels Ultrasound - assessment of ovarian volume and antral follicle counts Assessment of adequate ovulation This can be done in a variety of ways. When anatomic variance or obstruction is suspected, referral for surgical evaluation and treatment is appropriate. The patient should be abstinent for 2-3 days prior to maximize sperm number and quality. Microsurgery in Clinical Urology. (PDF, 5 MB) Urology, 1975. The emotional toll on both partners can affect their relationship. Pro-life opposition to the destruction of embryos not transferred in vivo. 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). Myth MYTH: If men ejaculate, they are fertile TRUTH: Ejaculation doesn't mean fertility.