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We welcomed a sweet baby girl into the world in June this year!Background Infertility is a common clinical problem. 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). Spermiogenic defects may also be a cause of sterility. Intrauterine insemination is performed during a natural cycle or after ovulation induction with CC or gonadotropins.

The abnormalities need to be evaluated from a genetic point of view because any male offspring would inherit the same issue as the father. Blood test: This can assess hormone levels and whether a woman is ovulating.

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Microsurgical Solutions to Male Infertility. (PDF, 2 MB) Contemporary OB/GYN, 2005. Metformin (Glucophage) is another type of medication that may help you ovulate normally if you have insulin resistance or PCOS (polycystic ovarian syndrome). IVF treatment may be suggested if IUI is not successful or appropriate, or if female infertility is a contributing problem. 2 This encompasses couples with infertility and impaired ability to get pregnant, but it does not capture those who are not married, so actual numbers may be underestimated.

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Radiation treatment and/or chemotherapy for cancer. No Differences in Outcome after Intracytoplasmic Sperm Injection with Fresh or with Frozen-thawed Epididymal Spermatozoa. (PDF, 66 KB) Human Reproduction, 1999. Primary infertility When a woman is unable to ever bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth she would be classified as having primary infertility.

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This can result from: A medical condition: This could be a testicular infection, cancer, or surgery. Source : (1).pptx Evaluation of Fertility: A Cornerstone to Improved ... The Treatment of Azoospermia with Surgery and ICSI. (PDF, 4 MB) Chapter 10 from Male Fertility & Infertility, 1998. Hysterosalpingogram (HSG) – This test is essential for evaluating fallopian tubal patency, uterine filling defects such as fibroids and polyps, and scarring of the uterine cavity (Asherman syndrome). Intracytoplasmic sperm injection[edit] ICSI technique is used in case of poor semen quality, low sperm count or failed fertilization attempts during prior IVF cycles. Poor egg quality: Eggs that are damaged or develop genetic abnormalities cannot sustain a pregnancy. This can be related to hormone issues, or to polycystic ovarian syndrome (PCOS).