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Successful Pregnancy and Delivery after Calcium Ionophore Oocyte Activation in a Normozoospermic Patient with Previous Failed Fertilization after Intracytoplasmic Sperm Injection. (PDF, 57 KB) Fertility and Sterility, 2003. A woman who keeps having miscarriages is also considered infertile. Obese women have a higher rate of recurrent, early miscarriage compared to non-obese women. Hormone imbalances Infertility can result from disorders of the testicles themselves or an abnormality affecting other hormonal systems including the hypothalamus, pituitary, thyroid and adrenal glands. Sex any other time, even the next day after ovulation, will not result in conception. “We generally advise couples to seek fertility evaluations if they are unable to conceive after 12 months of unprotected intercourse,” says Lawrence Ross, MD, president of the American Urological Association.

Endometrial biopsy should be performed only in women with suspected pathology (chronic endometritis or neoplasia). In some cases, simply removing the polyp solves infertility.

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When the big veins heat the testes too much, the heat damages the sperm. Afterward, the embryo transfer follows with a sterile special catheter into the cavum uteri. Human chorionic gonadotropin (Ovidrel, Pregnyl): Used together with clomiphene, hMG, and FSH, this can stimulate the follicle to ovulate.

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Therefore, this problem must be corrected first or concomitantly to obtain an ovulatory response. Men should undergo evaluation with a semen analysis. 30–32 Other treatment options include antiestrogens and gonadotropin therapy, which showed a trend toward increased live birth rates in a Cochrane review.

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Counseling about options should be offered to couples who are not physically able to conceive (i.e., same-sex couples or persons lacking reproductive organs). This can reveal signs of endometriosis, scarring, blockages, and some irregularities of the uterus and fallopian tubes. Radiation therapy: This can impair sperm production. The ICSI process takes place following a cycle during which fertility drugs are administered to the female partner to aid in the production of multiple eggs.