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Vitrification of oocytes from endangered Mexican gray wolves (Canis lupus baileyi). (PDF, 319 KB) Theriogenology, 2010. On the other hand, excess weight can also create ovarian dysfunctions. Endometriosis may be treated through laparoscopic surgery. Fertility Evaluation: General and Gynecological Examination For women, a visual evaluation of hair distribution and of body and breast development can indicate endocrinopathy or various development deficiencies. Thankfully, even when the cause of infertility is not known, various fertility treatments can eventually lead to delivery of a healthy baby. Ovulation often can be detected by keeping a menstrual calendar or using an ovulation predictor kit.

Once a follicle containing an egg reaches a mature size, another hormone injection called HCG is often given to mimic the natural LH surge that occurs at the time of ovulation. Although relatively uncommon, eating disorders can negatively affect menstruation, fertility, and maternal and fetal well-being. World Health Organization[edit] The World Health Organization defines infertility as follows:[10] United States[edit] One definition of infertility that is frequently used in the United States by reproductive endocrinologists, doctors who specialize in infertility, to consider a couple eligible for treatment is: a woman under 35 has not conceived after 12 months of contraceptive-free intercourse. Other testing may be needed based on circumstances, including testicular biopsy, genetic testing, and imaging (Table 36–8,10,19,20). While orchitis develops a few days after the onset of parotid gland inflammation, it may also precede it.

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The Intra-abdominal Testes: Microvascular Autotransplantation. (PDF, 4 MB) The Journal of Urology, 1981. However, this method is not particularly accurate.

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Microscopic Technique for Reversal of Vasectomy. (PDF, 3 MB) Surgery, gynecology & obstetrics, 1976. Unicornuate uterus is associated with renal abnormalities including absence of a kidney or presence of a pelvic kidney; this occurs in 15% of cases. Fertilization takes place outside the body, and the fertilized egg is reinserted into the woman's reproductive tract, in a procedure called embryo transfer.

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Idiopathic Hypercalciuria. (PDF, 1 MB) New England Journal of Medicine, 1971. Ovary Transplantation for Fertility Preservation in Cancer Patients: Fresh and Frozen. (PDF, 1 MB) Chapter 42 from textbook Clinial Infertility, 2010. 34 Although intrauterine insemination has been shown to be equally effective as timed intercourse in unstimulated cycles, there is a modest increase in live birth rates when combined with ovarian stimulation. Modifiable and non-modifiable risk factors for poor semen quality: a case-referent study. In some cases, the reproductive urologist can improve semen function by recommending certain lifestyle changes, by hormonal treatments, or by surgery. Donor semen should be free from any STI-producing organisms, including HIV. Success rates with IVF procedure are approximately 20% per egg retrieval (approximately 20 couples out of every 100 who try one retrieval with IVF are likely to achieve pregnancy and delivery). Evaluation of cervical mucus is unreliable; therefore, investigation is not helpful with the management of infertility.