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Summary Infertility is a significant medical and social problem affecting couple worldwide. It is a sensitive issue that should be handled with great care with continuous professional counselling. Most young couples will conceive naturally within 2 years. Evaluation of both partners for causes is essential. Treatment depends on the cause, and varies from medical treatment to surgery to ART. Intrauterine insemination. For this procedure, after semen gets rinsed with a special solution, a doctor places it into your uterus when you're ovulating.

Fertilization takes place outside the body, and the fertilized egg is reinserted into the woman's reproductive tract, in a procedure called embryo transfer. Metformin (Glucophage) is another type of medication that may help you ovulate normally if you have insulin resistance or PCOS (polycystic ovarian syndrome).

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29 When the semen analysis is abnormal, referral to a male fertility specialist or reproductive endocrinologist is warranted. Biopsy reveals maturation arrest or germ cell aplasia. Many countries have special frameworks for dealing with the ethical and social issues around fertility treatment. Fertility awareness methods are used to discern when these changes occur by tracking changes in cervical mucus or basal body temperature. Pregnancy After Testicular Transplant: Importance of Treating the Couple. (PDF, 5 MB) Fertility and Sterility, 1980.

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To examine the sperm motility in the cervical mucus, the postcoital test is made. In order to accomplish this, the semen is washed with a solution safe to sperm and eggs, and then centrifuged to separate motile sperm from immotile sperm and other cells. Ideally, patients respond to replacement with exogenous GnRH or HCG, an LH analogue, although this does not always occur. In the United Kingdom, it is estimated that one in six couples would complaint of infertility [3]. Choose a single article, issue, or full-access subscription.

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Basal body temperatures are no longer considered a reliable indicator of ovulation, and are not recommended for evaluating ovulation. Only active, undamaged sperm are chosen for injections. After 3-6 hours, the sperm is added to the oocytes. The ovulation induction agents used include clomiphene citrate, hMG, hCG, recombinant FSH, and recombinant LH. This can help a man who cannot ejaculate normally, for example, because of a spinal cord injury. Physical damage to the ovaries, or ovaries with multiple cysts, may affect their ability to function. STUDIES DEMOGRAPHIC DATA EVALUATION TOPIC: FERTILITY MEASURES LECTURER: MISS ADETORO GBEMISOLA W. Men should also avoid hot baths and whirlpools, he says, because the high temperatures slow down your sperm factory. They can also carry out some basic tests on both partners to see if there is an identifiable reason for not having achieved a pregnancy. In theory, it is possible to conceive on any of these 6 days that occur before and during ovulation. Laparotomy with histopathology is usually indicated, because medical attempts at inducing ovulation (human chorionic gonadotropin, FSH, GnRH) are usually unrewarding. National Collaborating Centre for Women's and Children's Health. It's sometimes done while you're taking meds that help trigger the release of an egg. In reproductive medicine, the most common surgical procedures are laparoscopy, hysteroscopy, and abdominal myomectomy (removal of uterine fibroids).