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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. Gerrits T, Shaw M (2010). "Biomedical infertility care in sub-Saharan Africa: a social science review of current practices, experiences and view points". The testicles will be checked for lumps or deformities, and the shape and structure of the penis will be examined for abnormalities. Many countries have special frameworks for dealing with the ethical and social issues around fertility treatment.

Ovulation disorders About one quarter of infertility cases are due to ovulation disorders. The restricted vision, the difficulty in handling of the instruments (new hand-eye coordination skills are needed), the lack of tactile perception, and the limited working area are factors adding to the technical complexity of this surgical approach. When a man ejaculates and releases semen through the penis, the seminal fluid, or semen, helps transport the sperm toward the egg. Many countries have special frameworks for dealing with the ethical and social issues around fertility treatment.

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In the past, if the above methods didn’t work, it often meant lifelong male infertility. This can make it difficult for the embryo to implant. Gerrits T, Shaw M (2010). "Biomedical infertility care in sub-Saharan Africa: a social science review of current practices, experiences and view points".

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This standardized approach to the management of infertility will lead to more efficient, systematic and economic care for the infertile couple. Twelve months is the lower reference limit for Time to Pregnancy (TTP) by the World Health Organization.[7] a woman over 35 has not conceived after six months of contraceptive-free sexual intercourse. Using these criteria, he reported a clinically significant threshold of 14% normal forms as an excellent predictor of IVF success. Counseling about options should be offered to couples who are not physically able to conceive (i.e., same-sex couples or persons lacking reproductive organs). Treatment of Uterine Factors Until in vitro fertilization became available, a patient with congenital absence of the uterus and vagina (Rokitansky-Küster-Hauser syndrome) had no chance to have a biologic child.

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Varicocele A varicocele is a swelling of the veins that drain the testicle, which can impact sperm quality. Patients with hyperthyroidism or hypothyroidism must be treated accordingly. [210, 211] Weight reduction should be part of the treatment because it helps the patient's response to ovulation induction. [212] Treatment of Male Factors Asthenospermia associated with varicocele is treated surgically with varicocelectomy or with embolization of the spermatic veins. Endometriosis may be treated through laparoscopic surgery. Therefore, it is particularly important to evaluate both partners when investigating infertility. Partners may become more anxious to conceive, increasing sexual dysfunction.[17] Marital discord often develops, especially when they are under pressure to make medical decisions. In these methods, fertilization occurs inside the body. 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.