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Frequency of intercourse Probability of conception (within 6 months) 1 time per week 17 % 3 times per week 50 % 6. VITRIKAS, MD, David Grant Medical Center Family Medicine Residency, Travis Air Force Base, California Am Fam Physician. 2015 Mar 1;91(5):308-314.   Patient information: See related handout on infertility, written by the authors of this article.   Related letter: Natural Procreative Technology for Treating Infertility This clinical content conforms to AAFP criteria for continuing medical education (CME).

Dealing with Fertility Problems After Vasectomy Reversal. (PDF, 7 MB) Contemporary OB/GYN, 1978. IVF is Generally Performed in the Following Manner: The woman undergoes gonadotropin injections, which stimulate the ovaries to produce many eggs. Hystersalpingography (HSG): Further investigations 17. Investigation of suspected tubal and uterine abnormalities: 2. These tests are used to determine gland failure or obstruction. Successful Vitrification of Bovine and Human Ovarian Tissue. (PDF, 3 MB) Reproductive BioMedicine Online, 2009. In some cases, the reproductive urologist can improve semen function by recommending certain lifestyle changes, by hormonal treatments, or by surgery.

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The enzyme aromatase is responsible for this conversion, and is found primarily in adipose tissue. CC has been in clinical use since the early 1960s. Techniques for the Resolution of Testicular Obstruction. (PDF, 8 MB) Chapter 78 from textbook, Reconstructive Urology, 1992. Ovarian hyperstimulation syndrome The ovaries can swell, leak excess fluid into the body, and produce too many follicles, the small fluid sacs in which an egg develops. 0 This concept is a form of artificial insemination.

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Histological dating of timed endometrial biopsy tissue is not related to fertility status. It is an approach to disseminate the recommended medical care of infertile couple to the practicing clinicians.

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When anatomic variance or obstruction is suspected, referral for surgical evaluation and treatment is appropriate. Paternal age > or = 40 years: an important risk factor for infertility. Factors affecting Fertility Low body weight - Women with BMI less than 19 and irregular menstruation should be counselled to gain weight. Smoking - Strong association between smoking and fertility in both partners. - Affects success rates of ARTs. Biopsy reveals maturation arrest or germ cell aplasia. Poor egg quality: Eggs that are damaged or develop genetic abnormalities cannot sustain a pregnancy. Pregnancy After Testicular Transplant: Importance of Treating the Couple. (PDF, 5 MB) Fertility and Sterility, 1980. Endometriosis can be treated with hormones that suppress the displaced endometrial tissue or the tissue can be removed by a surgical procedure. Women in group III can conceive only with oocyte donation and in vitro fertilization. For women aged 35, about 94% who have regular unprotected sexual intercourse get pregnant after three years of trying. Bilateral anorchia (vanishing testes syndrome) Patients have a normal male karyotype (46, XY) but are born without testis bilaterally. Fertility awareness methods are used to discern when these changes occur by tracking changes in cervical mucus or basal body temperature. Sperm Granuloma and Reversibility of Vasectomy. (PDF, 11 MB) Lancet, 1977. The normal working of the male reproductive system involves first the production of sufficient numbers of functional sperm cells and then the delivery of these sperm to the ejaculate. Silent Sorority: A Barren Woman Gets Busy, Angry, Lost and Found.Anovulation is when the ovaries do not release an oocyte during a menstrual cycle. Pregnancy Caused by Sperm from Vasa Efferentia. (PDF, 1 MB) Fertility and Sterility, 1988.