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Several days later, embryos -- or fertilized eggs -- get put back into your uterus with a device called an intrauterine insemination catheter. For an appendectomy, the right shoulder can be particularly painful. The avascular nature of the septum is theorized to interfere with implantation and maintenance of the embryo.

Unexplained Even after a full fertility work-up, for one in five couples an exact cause of infertility cannot be determined. New Concepts in Operative Andrology: A Review. (PDF, 7 MB) International Journal of Andrology, 2000. Often, but not always, submucosal fibroids can cause heavy periods, or bleeding between periods. Your doctor will analyze your semen analysis carefully and help you decide if ICSI is an appropriate treatment for you.

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The doctor or WHNP may also be able to suggest lifestyle changes to increase the chances of conceiving.[65] Women over the age of 35 should see their physician or WHNP after six months as fertility tests can take some time to complete, and age may affect the treatment options that are open in that case. ARTICLES FROM THE 1990s Microsurgery, Andrology, and Its Role in IVF. (PDF, 6 MB) Chapter in text book, Advances in Assisted Reproductive Technology, 1990.

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Fertility: assessment and treatment for people with fertility problems. Unlike IVF, in which actual fertilization is observed and confirmed in the laboratory, GIFT does not allow visual confirmation of fertilization.

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Possible problems could be that the egg is not released at the optimum time for fertilization, that it may not enter the fallopian tube, sperm may not be able to reach the egg, fertilization may fail to occur, transport of the zygote may be disturbed, or implantation fails. In order to conceive, your sperm must be:  Highly concentrated — normally, there should be at least 15 million sperm in every ml of semen5  Moving well (motile) — a lashing tail helps your sperm to swim to your partner’s egg  Normally shaped — healthy sperm should be shaped like a streamlined tadpole  You may find that your semen contains a very low number of sperm (oligozoospermia), or no sperm at all (azoospermia). Ovulation induction in polycystic ovary syndrome [published corrections appear in J Obstet Gynaecol Can. Excess cortisol may be produced by adrenal hyperplasia, adenomas, carcinoma, or lung tumors. Assisted conception The following methods are currently available for assisted conception. For patients with a history of endometriosis, pelvic infections, or ectopic pregnancy, evaluation with hysteroscopy or laparoscopy is recommended. The Relationship of Abnormal Semen Values to Pregnancy Outcome. (PDF, 770 KB) Chapter 10 from textbook, 1992. Sertoli Cell only Revisited. (PDF, 1 MB) Human Reproduction, 1995. This can be done by a urine test, basal body temperature chart, progesterone test and/or endometrial biopsy.