A couple wants a second child that is biologically related to them. They have been trying for five years. The wife is 45 years old and healthy, with no history of sexually transmitted diseases. Three rounds of artificial insemination with her husband's sperm have failed. There is no evidence of any problem with her husband's sperm count or motility. What would be the most likely next step?

a. Another round of artificial insemination with the husband's sperm
b. Artificial insemination is donor sperm
c. In vitro fertilization using the wife's egg in donor sperm
d. In vitro fertilization using a donor egg and her husband's sperm

Answer:

Hence the correct answer is a. Another round of artificial insemination with the husband's sperm.

Explanation:

Here the correct option is Another round of artificial insemination with the husband's sperm.

Because the couple wants their own biological child, So that, they can't use donor's eggs or sperm. Thus the options B, C, and are not correct.

The next step that should be taken is D. In vitro fertilization using a donor egg and her husband's sperm.

Based on the information given, three rounds of artificial insemination with her husband's sperm have failed, therefore, it shouldn't be tried anymore.

The best option will be in vitro fertilization using a donor egg and her husband's sperm. In vitro fertilization simply means the process of fertilization where an egg will be combined with sperm in vitro.

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