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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. Mittelschmerz and premenstrual symptoms tend to be absent or reduced when a woman is anovulatory.

Microscopic Technique for Reversal of Vasectomy. (PDF, 3 MB) Surgery, gynecology & obstetrics, 1976. Chlamydia test: Chlamydia can affect fertility, but antibiotics can treat it. Are Sequence Family Variants Useful for Identifying Deletions in the Human Y Chromosome? (PDF, 377 KB) The American Journal of Human Genetics, 2004. This should be followed by documentation of ovulation via serum progesterone. If a woman gets her period every 28 days, ovulation happens about 14 days after she starts her period.

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Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989. Get Permissions Email Alerts Don't miss a single issue. Prior surgeries Certain surgeries may prevent you from having sperm in your ejaculate, including vasectomy, inguinal hernia repairs, scrotal or testicular surgeries, prostate surgeries, and large abdominal surgeries performed for testicular and rectal cancers, among others. Hence the ability to conceive a normal pregnancy decreases from when a woman is in her early 30s into her 40s. Whether it should be corrected in cases of primary infertility is controversial.

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The presence of anti-sperm antibodies have been found in infertile men, and suppression of these antibodies with corticosteroid treatment has improved the semen quality and increased the rate of conception. Transmission of Male Infertility to Future Generations: Lessons from the Y Chromosome. (PDF, 303 KB) Human Reproduction Update, 2002.

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Surgical procedures for women If the fallopian tubes are blocked or scarred, surgical repair may make it easier for eggs to pass through. The problem is getting the sperm where they need to go. 6 Accuracy may be improved by use on midday or evening urine specimens, which correlate better with the peak in serum luteinizing hormone levels. Povey AC, Clyma JA, McNamee R, et al.; Participating Centres of Chaps-UK. While BBT is an inexpensive way to monitor ovulation, it is often impractical. Successful Autotransplantation of an Intra-abdominal Testis to the Scrotum by Microvascular Technique. (PDF, 11 MB) The Journal of Urology, 1976. Some methods may be used in concert with other methods. Clomiphene citrate for unexplained subfertility in women. Do you have a family history of medical problems? Fibroids should be treated if they are associated with abnormal uterine bleeding or if they are thought to be the cause of infertility.