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The predictable pregnancy rate for this group is about 5% after timed intercourse, 10% after superovulation with intrauterine insemination (IUI), and 15% to 25% after assisted reproduction techniques (ART) [41]. Afterward, radiographs are taken and the contrast material can be seen in the abdominal cavity if the tubes are pervious. Sterility is an emotional journey for the couple trying to become pregnant, and feelings of anger, guilt, and depression are not uncommon. Gonadotropin-releasing hormone (Gn-RH) analogs: These can help women who ovulate too early—before the lead follicle is mature—during hmG treatment. A woman of reproductive age who is using artificial insemination to conceive (with either partner or donor sperm) after 6 failed trials. Consider earlier referral to infertility specialists where: - the woman is aged 36 years or over. - there is a known clinical cause of infertility or a history of predisposing factors for infertility. - treatment is planned that may result in infertility (such as treatment for cancer). - People who are concerned about their fertility and who are known to have chronic viral infections such as hepatitis B, hepatitis C or HIV.

The facilities available and the skills of personnel are the major determining factors for the success rate. It also shows if there are any abnormalities in the uterine cavity, such as polyps or submucous fibroids; or abnormalities of the tubes, such as evidence of salpingitis.

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Chemotherapy: Some types may significantly reduce sperm count. If conservative medical treatments fail to achieve a full term pregnancy, the physician or WHNP may suggest the patient undergo in vitro fertilization (IVF). Gonadotropins can trigger ovulation when Clomid or Serophene don't work. High Fertilization and Pregnancy Rate after Intracytoplasmic Sperm Injection with Spermatozoa Obtained from Testicle Biopsy. (PDF, 3 MB) Human Reproduction, 1995. Laparoscopic and thoracoscopic surgery belong to the broader field of endoscopy. IVF and related techniques (ICSI, ZIFT, GIFT) are called assisted reproductive technology (ART) techniques.

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It is very important that these injuries be recognized as early as possible.[26] Some patients have sustained electrical burns unseen by surgeons who are working with electrodes that leak current into surrounding tissue. Egg donation. This can help you if you have ovaries that don't work right but you have a normal uterus. Tubal occlusion is a cause of infertility because an ovulated egg is unable to be fertilized by sperm or to reach the endometrial cavity. Fertilizing Capacity of Epididymal and Testicular Sperm using Intracytoplasmic Sperm Injection (ICSI). (PDF, 7 MB)Reproduction, Fertility and Development, 1995.

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Men who are underweight tend to have lower sperm concentrations than those who are at a normal BMI. After stimulation, the physician surgically extracts one or more eggs from the ovary, and unites them with sperm in a laboratory setting, with the intent of producing one or more embryos. Abnormal semen may not be able to carry the sperm effectively. Spermatid Conception. (PDF, 1 MB) Human Reproduction, 1998. Testicular Transplantation and Autotransplantation. (PDF, 8 MB) Chapter 22 of textbook, Extracorporeal and Microvascular Surgery, 1982. Women receiving fertility treatment have a slightly higher risk of an ectopic pregnancy. Thus one of the requirements is normal spermatogenesis – normal sperm count, motility and biologic structure and function. Afterward, the embryo transfer follows with a sterile special catheter into the cavum uteri. If necessary, they refer patients to a fertility clinic or local hospital for more specialized tests.


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