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Introduction

When is artificial insemination advocated

Artificial insemination is advocated in cases of oligospermia.  Oligospermia is a condition in which the sperm count in the ejaculate is low. This condition can be the result of overheated testicles, by hot baths or anatomical causes like a varicocele. 
 

How can oligospermia be treated

One of the first things that a man in this condition should do is to cool down his testicles. It is recommended that they  wear the boxer shorts type of underwear rather than close fitting Y-fronts so as to permit more air to circulate around the testicles. The treatment of cold water therapy has proved to be beneficial in about half the men when properly performed. 

There are two medical treatments for oligospermia. The first of these is Artificial Insemination by Husband (A.I.H.). The other option is the possibility of in-vitro fertilisation (I.V.F.). Very low sperm counts are used to fertilise the eggs retrieved for I.V.F., the semen sample being deliberately diluted. If the sperm count is already very low, but the quality of the count is satisfactory, I.V.F. would seem to be a very reasonable form of treatment. The major I.V.F. clinics are accepting couples where severe oligospermia is the apparent cause of the infertility.

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