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Factors Affecting Fertility: Timing of Intercourse Intercourse prior to ovulation is key to maximizing the chance of pregnancy. The eggs may never be released or they may only be released in some cycles.

Sperm are then collected, washed, and added to the eggs in the dish. The pregnancy rate fluctuates from 20-35%, and the expected ectopic pregnancy rate is as high as 20%.

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This can make it difficult for the embryo to implant. There are several requirements for male fertility. Graft-versus-host Reactivity and Renal Allograft Survival in Rats Given Allogeneic Spleen Cells or Spleen Allografts.(PDF, 2 MB) Transplantation, 1976. Additionally, the quality of her eggs also decreases increases the chance of chromosomal abnormalities.

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The agents most often associated with infertility are the alkylating agents such as cyclophosphamide. A woman with a suspicion of chronic anovulation most probably due to polycystic ovary (PCO) syndrome, as there is a long history of irregular cycles and clinical presentation with hirsutism, her serum levels of testosterone hormone, sex hormone binding globulin (SHBG), dihydroepiandrostenedione (DHEA), dihydroepiandrostenedione-sulfate (DHEAS) and prolactin should be evaluated to prove the provisional diagnosis and to detect the source of excess androgens. Ectopic pregnancy This is when a fertilized egg implants outside the womb, usually in a fallopian tube. Programming of Ovarian Stimulation with Norethindrone Acetate in IVF/GIFT Cycles. (PDF, 2 MB) Human Reproduction, 1989.

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Infertility may be caused by blockage of the Fallopian tube due to malformations, infections such as chlamydia or scar tissue. Broekmans FJ, Kwee J, Hendriks DJ, Mol BW, Lambalk CB. In some women, and especially with age, the membrane becomes harder. A low testosterone level with a low FSH level signals a secondary cause. Happily, many couples treated for infertility are able to have babies. 8 Involvement in group counseling and exercise is more effective than weight loss advice alone.