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During ejaculation, the ejaculate is propelled forward by the rhythmic contractions of the smooth muscle that surrounds the ducts and by the bulbourethral muscles and other pelvic muscles. To help objectify sperm morphology and therefore enhance the consistency and reproducibility among laboratories, Kruger introduced a definition of "strict criteria" in 1986. Medication. If you have ovulation problems, you may be prescribed drugs such as clomiphene citrate (Clomid, Serophene), gonadotropins (such as Gonal-F, Follistim, Humegon and Pregnyl), or letrozole. For this reason, a call for low-cost ART protocols have been attempt to reduce the overall current cost of IVF through limiting the rquired laboratory investigations, modifying the stimulation regimen and purchasing low-priced pre-used machines and instruments [35]. Treatment of tubal obstruction generally requires referral for subspecialty care.

Birth after Preimplantation Diagnosis of the Cystic Fibrosis F508 Mutation by Polymerase Chain Reaction in Human Embryos Resulting from Intracytoplasmic Sperm Injection with Epididymal Sperm. (PDF, 2 MB) The Journal of the American Medical Association, 1994. Abnormal semen may not be able to carry the sperm effectively.

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Leydig cell function is impaired, and most patients are infertile due to primary testicular failure. Infertility and Impaired Fecundity in the United States, 1982-2010: Data from the National Survey of Family Growth. Theoretically, with this therapy, we can get artificial gamets in vitro. Pregnancy Caused by Sperm from Vasa Efferentia. (PDF, 1 MB) Fertility and Sterility, 1988.

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38,39 Family physicians may choose to attempt ovulation induction in anovulatory women (WHO group II) with clomiphene. Traumatic Renal Hemorrhage Treatment by Arterial Embolization. (PDF, 3 MB) The Journal of Urology, 1973.

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Fertility treatment with donor eggs is usually done using IVF. Experts differ as to when genetic tests should be done. The search included meta-analyses, randomized controlled trials, clinical trials, and systematic reviews. When anatomic variance or obstruction is suspected, referral for surgical evaluation and treatment is appropriate. Sperm are then collected, washed, and added to the eggs in the dish. Debate over whether health insurance companies (e.g. in the US) should be required to cover infertility treatment. Urofollitropin (eg, Bravelle) contains 75 U of FSH. Trauma, previous attempts at sperm aspiration, and inguinal surgery may also result in ductal blockage. They can interfere with implantation or block the fallopian tube, preventing sperm from fertilizing the egg. Estimating the prevalence of infertility in Canada [published correction appears in Hum Reprod. If the E2 and FSH levels are in the normal range, clomiphene citrate is the drug of choice, as previously described. Evaluation of cervical mucus is unreliable; therefore, investigation is not helpful with the management of infertility.