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Ovarian Transplantation between Monozygotic Twins Discordant for Premature Ovarian Failure. (PDF, 315 KB) The New England Journal of Medicine, 2005. In some cases, the egg may have matured properly, but the follicle may have failed to burst (or the follicle may have burst without releasing the egg). Endometriosis: Cells that normally occur within the lining of the uterus start growing elsewhere in the body. The predictive value of hysterosalpingography for tubal and peritoneal infertility factors.

However, these tests have only poor to moderate predictive value despite widespread use. During ejaculation, the ejaculate is propelled forward by the rhythmic contractions of the smooth muscle that surrounds the ducts and by the bulbourethral muscles and other pelvic muscles. The fluid comes from the prostate gland, the seminal vesicle, and other sex glands. Production of the First Offspring from Oocytes Derived from Fresh and Cryopreserved Pre-antral Follicles of Adult Mice. (PDF, 2 MB) Reproductive BioMedicine Online, 2007.

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She will also undergo a gynecologic examination and a number of tests: Laparoscopy involves inserting a thin tube with a camera on to investigate and possibly remove unwanted tissue. Frequency of intercourse The couple may be advised to have sexual intercourse more often around the time of ovulation. The substances are preferentially used at the beginning of the cycle. A woman comes to your consultation-hour and you diagnose an ovarian hyperstimulation syndrome.

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8,37 Women in WHO group II, including those who are overweight and who have polycystic ovary syndrome, can benefit from weight loss, exercise, and lifestyle modifications to restore ovulatory cycles and achieve pregnancy. Options include intrauterine insemination (also known as IUI) or IVF with intracytoplasmic sperm injection (also known as ICSI). Couples may decide to go ahead regardless if the desire to become pregnant is very strong.

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Causes of infertility and sterility in men The male factor is difficult to evaluate because sperm analyses do not always indicate if there is a problem or not. Vasectomy. (PDF, 5 MB) From the Encyclopedia of Reproduction, 1999. Male infertility is defined as a male’s inability to cause a pregnancy after having regular intercourse (sex) with a fertile female without birth control for one year. Testicular Sperm Extraction (TESE) and Intracytoplasmic Sperm Injection (ICSI) for Non-obstructive Azoospermia.(PDF, 1 MB) 10th World Congress on In Vitro Fertilization and Assisted Reproduction, 1997. Antibodies that attack sperm Anti-sperm antibodies are immune system cells that mistakenly identify sperm as harmful invaders and attempt to eliminate them. Allocation of medical resources that could be used elsewhere The legal status of embryos fertilized in vitro and not transferred in vivo. (See also beginning of pregnancy controversy). Epididymal Extravasation Following Vasectomy as a Cause for Failure of Vasectomy Reversal. (PDF, 22 MB)Fertility and Sterility, 1979. Medications Testosterone replacement therapy, long-term anabolic steroid use, cancer medications (chemotherapy), certain antifungal medications, some ulcer drugs and certain other medications can impair sperm production and decrease male fertility. Prolactin stimulates milk production during breastfeeding. It must be kept in mind that a woman is no longer fertile around six years prior to the menopause. Rarely, a blood clot may develop in an artery or vein, liver or kidney problems can arise, and respiratory distress may develop. The most commonly prescribed injections that stimulate the ovary are called gonadotropins.