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Those who do have fertility problems are treated according to the following guidelines: [112, 113, 114] Chronic cervical factor of absence of mucus - Intrauterine insemination Cervical incompetence - Cerclage Damage/absence of fallopian tubes (ectopic) - In vitro fertilization Unicornuate uterus A unicornuate uterus remains undetected unless fertility is compromised. 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.

Signs of infertility include irregular, excessively heavy, or absent periods as well as sudden weight gain, painful sex, or vaginal infections. Similarly, there is no need for testing tubal patency for couples who will require IVF or ICSI procedure. Treatment is with human menopausal gonadotropin (HMG) or exogenous FSH. Pregnancy with Sperm Aspiration from the Proximal Head of the Epididymis: A New Treatment for Congenital Absence of the Vas Deferens. (PDF, 2 MB) Fertility and Sterility, 1988.

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Gonadotropin release is modulated by various other signals, such as estradiol (a potent inhibitor of both LH and FSH release), and inhibin from the Sertoli cell, which causes a selective decrease in FSH release. Endometrial biopsy should be performed only in women with suspected pathology (chronic endometritis or neoplasia). The anamnesis includes sexual behavior concerning ovulation here. Alcohol: Any amount of alcohol consumption can affect the chances of conceiving. Sermondade N, Faure C, Fezeu L, Lévy R, Czernichow S; Obesity-Fertility Collaborative Group.

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The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. Approximately 10% of cases are unexplained, where no definitive cause can be identified. Opinion: Microsurgical TESE and the Distribution of Spermatogenesis in Non-obstructive Azoospermia. (PDF, 5 MB)Human Reproduction, 2000.

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Unlike women, whose fertility significantly declines after the age of 35, men’s fertility doesn’t decline until they are much older. 1) Advancing maternal age: Historically before the latter 20th century, women were conceiving in their teens and twenties, when age-related abnormalities with the egg were not evident. 44 Therefore, a simple recommendation is for vaginal intercourse every two to three days to optimize the chance of pregnancy. Men should undergo evaluation with a semen analysis.