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Fertilization takes place outside the body, and the fertilized egg is reinserted into the woman's reproductive tract, in a procedure called embryo transfer. At least one open tube is required for IUI, and the sperm abnormality cannot be severe otherwise the sperm will not be able to swim to and fertilize the egg.

The man is advised not to ejaculate for 2 to 3 days before giving the semen sample for evaluation. Surprisingly, most patients have normal libido, erections, and orgasms, so testosterone therapy has only a limited role; exogenous testosterone may also suppress any underlying sperm production. In addition, fertility treatments can be associated with health problems for women and resulting children (2), especially those related to the increased risk for multiple gestation.

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Sperm can survive inside the female for up to 5 days, while an egg can be fertilized for up to 1 day after ovulation. The corollary to this is that, by definition, failure to conceive in women under 35 isn't regarded with the same urgency as it is in those over 35.

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Chromosomal abnormalities An estimated 6-13% of infertile men have chromosomal abnormalities (compared with 0. A decreased testosterone level with an increased FSH level points to primary hypogonadism. The length of postoperative stay in the hospital is minimal, and same-day discharges are possible in cases of early morning procedures. This may be because the ovaries do not contain eggs.

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Incidence and main causes of infertility in a resident population (1,850,000) of three French regions (1988–1989). Because sperm generation time is just over two months, it is recommended to wait three months before repeat sampling. Female age of 35 years or older: For unclear reasons, egg numbers decrease at a rapid rate as women age. In those with azoospermia and a varicocele, sperm may appear after repair in up to one third, but most of these men return to an azoospermic state within a few months. Its treatment depends on the etiologic factor, but, in many instances, the underlying cause remains unknown. IVF in action Intracytoplasmic sperm injection (ICSI): A single sperm is injected into an egg to achieve fertilization during an IVF procedure. Sperm Granuloma and Reversibility of Vasectomy. (PDF, 11 MB) Lancet, 1977. Bhaskar Dutta/Photoshare Clinical definitions Infertility is “a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse.”… (WHO-ICMART glossary1). “Infertility is the inability of a sexually active, non-contracepting couple to achieve pregnancy in one year.