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They’ll recommend some simple fertility tests, more information about which can be found here. This method takes several weeks and daily hormone injections are needed to ensure successful implantation. Ectopic pregnancy This is when a fertilized egg implants outside the womb, usually in a fallopian tube. In general, infertility is defined as the inability of couples to achieve pregnancy after ≥1 year of trying (1). Once the fluid containing the eggs is removed from the follicles into the vials, they are handed to the embryologist who finds the eggs, places them in tiny droplets on a Petri dish, and then fertilizes the eggs using their partner’s or donor sperm. This sterile needle is attached to sterile suction tubing and a collecting vial.

The quality and quantity of eggs begin to decline by the early 30s and drop even further as a woman approaches the age of 40. Microsurgery and Andrology. (PDF, 5 MB) Chapter from textbook, 1991. Source : Infertility and its Treatments - PPT Presentation Summary : Infertility and Its Treatments. It must be kept in mind that a woman is no longer fertile around six years prior to the menopause.

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These receptor dysfunctions may be explained by defects in specific chromosomal areas. The follicle should develop to a diameter of 23-24 mm before a spontaneous LH surge occurs. The use of Epididymal and Testicular Sperm for ICSI. (PDF, 1 MB) From IX World Congress on In Vitro Fertilization and Alternated Assisted Reproduction, 1995.

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Your physician will examine you carefully to determine if you have fibroids and if removal is necessary. Microsurgical Reversal of Tubal Sterilization: Factors Affecting Pregnancy Rate, with Long-term Follow-up. (PDF, 2 MB) Obstetrics & Gynecology, 1984. Uterine fibroids Fibroids are noncancerous growths in the uterus. Recombination Between Palindromes P5 and P1 on the HUman Y Chromosome Causes Massive Deletions and Spermatogenic Failure. (PDF, 786 KB) The American Journal of Human Genetics, 2002. Low sperm mobility (motility): The sperm cannot "swim" as well as they should to reach the egg. Risk factors for the formation of antisperm antibodies in men include the breakdown of the blood‑testis barrier, trauma and surgery, orchitis, varicocele, infections, prostatitis, testicular cancer, failure of immunosuppression and unprotected receptive anal or oral sex with men.[23][24] Sexually transmitted infections[edit] Infections with the following sexually transmitted pathogens have a negative effect on fertility: Chlamydia trachomatis and Neisseria gonorrhoeae.

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If a couple has never produced a pregnancy, it is defined as primary infertility. A Series of Monozygotic Twins Discordant for Ovarian Failure: Ovary Transplantation (Cortical versus Microvascular) and Crypreservation. (PDF, 791 KB) Human Reproduction, 2008. Problems in the uterus or fallopian tubes can prevent the egg from traveling from the ovary to the uterus, or womb. Treatment[edit] Treatment depends on the cause of infertility, but may include counselling, fertility treatments, which include in vitro fertilization. Debate: Are Spermatid Injections of any Clinical Value? (PDF, 6 MB) Human Reproduction, 1998. High-cost treatments are out of financial reach for some couples. Full history taking of both partners usually denotes the underlying problem [17-23], (Appendix 1). Additionally, there is concern that the stress of a strict schedule for intercourse may lead to reduced frequency of intercourse.