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6 The initial history should cover menstrual history, timing and frequency of intercourse, previous use of contraception, previous pregnancies and outcomes, pelvic infections, medication use, occupational exposures, substance abuse, alcohol intake, tobacco use, and previous surgery on reproductive organs. Surgery for epididymal blockage: A blocked epididymis can be surgically repaired. Methodology This paper, as a comprehensive review, deploys a new strategy to translate the research findings and evidence-base recommendations into a simplified focused guide to be applied on routine daily practice. The dynamics of stress in fertile and infertile couples.

Uterine fibroids Fibroids are noncancerous growths in the uterus. National Collaborating Centre for Women's and Children's Health. A doctor injects sperm directly into the egg in a dish and then places it into your uterus.

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This is obviously extremely distressing for the couples involved. Couples may decide to go ahead regardless if the desire to become pregnant is very strong.

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8 A high serum FSH level (greater than 30 to 40 mIU per mL [30 to 40 IU per L]) with a low estradiol level can distinguish ovarian failure from hypothalamic pituitary failure, which typically reveals a low or normal FSH level (less than 10 mIU per mL [10 IU per L]) and a low estradiol level. In 1985, Erich Mühe performed the first laparoscopic cholecystectomy. Reducing the risk of multiple pregnancies Injectable fertility drugs can sometimes result in multiple births, for example, twins or triplets.

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Any abnormality in the tubes can affect or impede conception: hydrosalpinx, tubal occlusion or salpingitis. It involves removing eggs from the ovary of a donor who has taken fertility drugs. Retrograde ejaculation: Sperm can be taken directly from the bladder and injected into an egg in the laboratory. Further reading[edit] Fertility: Assessment and Treatment for People with Fertility Problems. 5) Endometrial polyps: Endometrial polyps are finger-like growths in the uterine cavity arising from the lining of the uterus, called the endometrium, These abnormalities are rarely associated with cancer (<1% in a woman before menopause), but polyps are can decrease fertility by up to 50% according to some studies. Castration of the affected testis may allow the other testis to regain its ability to produce sperm, but the prognosis is guarded.