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Ovulation often can be detected by keeping a menstrual calendar or using an ovulation predictor kit. One-third of couples will discover fertility problems in both partners or will have their infertility remain unexplained.

Couples may decide to go ahead regardless if the desire to become pregnant is very strong. Semen analysis: A sample may be taken to test for sperm concentration, motility, color, quality, any infections, and whether any blood is present. If a blockage is present, surgery may be necessary. Homologous insemination refers to the use of sperm from the patient's partner. A detailed history and physical examination is necessary for both partners.

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Testicular Transplantation and Autotransplantation. (PDF, 8 MB) Chapter 22 of textbook, Extracorporeal and Microvascular Surgery, 1982. Ovulation should be documented by serum progesterone level measurement at cycle day 21. Primary infertility is when a couple has not conceived after trying for at least 12 months without using birth control Secondary infertility is when they have previously conceived but are no longer able to. A relationship also exists between obesity and erectile dysfunction (ED).

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Pregnancy after Vasovasostomy for Vasectomy Reversal: A Study of Factors Followed for 10 Years. (PDF, 3 MB)Human Reproduction, 1989. Prolonged estrus may be caused by ovarian cysts that produce estrogen, functional ovarian tumors, or exogenous estrogens (including human transdermal hormone replacement therapy). Females[edit] The following causes of infertility may only be found in females.

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Without an erection, it is difficult for a man to release sperm inside the vagina—and, therefore, difficult to get a woman pregnant. Clinical examinations start with ovarian causes of sterility. It binds in a part of the brain called the hypothalamus, which is essential in stimulating the ovary to grow and release an egg. Pregnancies after Testicular Sperm Extraction and Intracytoplasmic Sperm Injection in Non-obstructive Azoospermia. (PDF, 3 MB) Human Reproduction, 1995. Treatment of Endometriosis Endometriosis treatment may be divided according to the severity of the disease and patient needs. Fertility Evaluation: Obstetric and Gynecological History The obstetric and gynecological history should include: Reproductive history (children, mode of delivery, prematurity, stillbirth, extrauterine pregnancy, spontaneous and induced abortion, fertility and infertility in earlier relationships). The sperm is washed in a fluid and the best specimens are selected. GIFT (gamete intrafallopian tube transfer) and ZIFT (zygote intrafallopian transfer).  Like IVF, these procedures involve retrieving an egg, combining it with sperm in a lab, and then transferring it back to your body. Ovulation induction in polycystic ovary syndrome [published corrections appear in J Obstet Gynaecol Can.