الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Artificial insemination originally meant the spermatozoa into the female genital tract to achieve conception. Most authors now include in this broad term such as, in vitro fertilization and embryo transfer & ET), surrogate pregnancy and g~ete intrafallopian (GIFT) . AIH should be the last to resort to in the treatment of infertility problem indicated only when an absolute barrier the function of reproduction in the male or the female or the performance of the act of intercourse has been found. AIH is likely to prove of value in 4 grouPS of infertile co ples: Male {actor infertility, Cervical factor infertility, Deposition problems infertility and Immunologic infertility. As regard to the male factor AIH is used in cases of oligozoospermia and asthenozoospermia which is the most frequently reported indication for AIH. In cases of infertility due to cervical factor AIH major role in severe cervical stenesis and deficient or hositle cervical mucUS when other routes of treatment fail. Also~ in cases of poor postcoital test. Deposition problems infertility includes: penetration and ejaculation problems as penile malformations (Hypospadias and epispadias), ejaculatory incompetence (Premature and retregrade ejaculation) also vaginismus. Also it includes local vaginal and cervical circumstances such as vaginal septae, infections as vaginitis or cervicitis. Immunologic infertility is the fourth indication of AIH when antisperm antibodies both in serum as well as in repreductive tract has been implicated as a cause of infertility. In AIH we use either whole ejaculate or split ejaculate of semen (the first portion which is rich in spermatozoa with less prostaglandins content). Also there is other means of mechanical concentration as centrifugation, sperm-rise technique. swim-up technique or the use of millipore filter. IVF & ET is indicated in women with removed or irrepairable tubal damage. Also maY be used in cases of oligoasthenozoospermia. cervical immunologic barrier or cases of unexplained infertility.