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Studies have shown that approximately 70% of miscarriages are due to chromosomal abnormalities. The Use of Epididymal Sperm in Assisted Reproduction. (PDF, 8 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. New Concepts in Operative Andrology: A Review. (PDF, 7 MB) International Journal of Andrology, 2000. Simultaneous Treatment of the Wife in Infertile Couples with Oligospermia. (PDF, 4 MB) Fertility and Sterility, 1983. Women older than 35 years or couples with known risk factors for infertility may warrant evaluation at six months.

Earn up to 6 CME credits per issue.     To see the full article, log in or purchase access. If you and your partner agree, extra embryos can be frozen and saved to use later.

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If the woman is age 35 years or older, she should see a healthcare provider after six months of trying to get pregnant. Endometriosis Endometriosis is when the tissue of the uterine lining grows outside of the uterus. Fertility treatment with donor eggs is usually done using IVF. When Predictions Don’t Predict. (PDF, 549 KB) The Australian and New Zealand Journal of Obstetrics and Gynaecology, 1991. The diagnostic charts, which may be photocopied, provide an unambiguous route to diagnosis of the underlying cause of infertility, whilst the text fully explains and describes the essential clinical tests.

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32. Semen used is filtered for washing and grading through one of various processes use. IUI treatment, where the sperm is transferred into the uterus via the cervix, is commonly used in cases of low sperm count or quality. About 92 out of 100 couples who are trying to get pregnant do so within two years.[citation needed] Women become less fertile as they get older.

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Ovulation induction agents increase the risk of multiple pregnancy, ovarian hyperstimulation syndrome, and thrombosis, and they may increase the risk of ovarian cancer in women who remain nulliparous. Women with regular menstrual cycles are likely to be ovulating and should be offered serum progesterone testing at day 21 to confirm ovulation. Coping mentally It is impossible to know how long treatment will go on for and how successful it will be. Reducing the risk of multiple pregnancies Injectable fertility drugs can sometimes result in multiple births, for example, twins or triplets. The Avon Longitudinal Study of Pregnancy and Childhood Study Team. Blood tests Depending on the individual couple's situation, various blood tests on either the female or the male may be needed. Undescended testicles During fetal development one or both testicles may fail to descend from the abdomen into the sac that normally contains the testicles. High-cost treatments are out of financial reach for some couples. Therefore we recommend a fertility evaluation if a couple has been attempting pregnancy for 6 months or more when the woman is 35 years of age or older. Testis Biopsy and the Infertile Male. (PDF, 20 MB) Chapter 15 from textbook Office Andrology, 2005. Overweight or obesity: This may reduce the chance of conceiving. Females[edit] The following causes of infertility may only be found in females.