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Choose a single article, issue, or full-access subscription. Although CASA produces good qualitative data, it is a labor-intensive procedure with a high initial cost and is plagued with inaccuracies when sperm concentrations are very high or very low. The predictive value of hysterosalpingography for tubal and peritoneal infertility factors. If a woman has an ovulation disorder, she may ovulate infrequently or not all.

The easiest and most successful treatment is intrauterine insemination (IUI). [104] Similar treatments apply when oligospermia, hypospermia, and ejaculatory disorders such as impotence, hypospadias, or retrograde ejaculation are present. [105, 106, 107] Patients with azoospermia that is not amenable to in vitro fertilization/intracytoplasmic sperm injection treatment benefit from artificial insemination (AI) with donor sperm. [108] Artificial insemination can be performed by depositing the sperm at the cervical level (cervical insemination) [106] or inside the endometrial cavity (intrauterine insemination). This study was carried out in accordance with the requirements of the University of Bristol Regulations and Code of Ethics for Research Programmes.

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Men should undergo evaluation with a semen analysis. They're then stored inside yards of “plumbing” called the epididymis, which lies on top of each testicle. Abnormalities of sperm may be treated with gonadotropin therapy, intrauterine insemination, or in vitro fertilization. Ejaculation disorders Ejaculation disorders include premature ejaculation, anejaculation (the failure to ejaculate), and retrograde ejaculation, which is when semen enters the bladder during orgasm instead of coming out the tip of the penis. Known uterine fibroids or endometrial polyps: Uterine abnormalities, such as fibroids that indent the endometrial cavity and endometrial polyps, can impair how the endometrium (the lining of the uterus) and embryo interact to lower implantation and pregnancy rates.

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Theoretically, with this therapy, we can get artificial gamets in vitro. Polycystic ovary syndrome causes infrequent periods or a total absence of them and is the most common cause of anovulation (an absence of ovulation). In other cases, the cause is suspected to be immunological or genetic; it may be that each partner is independently fertile but the couple cannot conceive together without assistance.

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In GIFT, the sperm and eggs are mixed together before a doctor inserts them. The best candidates for tubal reanastomosis are patients who had tubal ligation by the method of fallopian ring, Filshie clip, or Pomeroy. [144] The pregnancy rate following a tubal reanastomosis performed by a skilled surgeon fluctuates from 70-80%. Fertility treatment with donor eggs is usually done using IVF. 2) Ovulation disorders: Normal and regular ovulation, or release of a mature egg, is essential for women to conceive naturally. Factors contributing to the formation of antisperm antibodies in women are disturbance of normal immunoregulatory mechanisms, infection, violation of the integrity of the mucous membranes, rape and unprotected oral or anal sex. They include: Clomifene (Clomid, Serophene): This encourages ovulation in those who ovulate either irregularly or not at all, because of PCOS or another disorder. Asthenozoospermia refers to reduced sperm motility.