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6,28 Additionally, postcoital testing of cervical mucus is no longer recommended because it does not affect clinical management or predict the inability to conceive. Article Sections Infertility is defined as the inability to achieve pregnancy after one year of regular, unprotected intercourse. Endometriosis may be treated through laparoscopic surgery.

Up to 2 percent of men are thought to have suboptimal sperm. About half the women with hormonal imbalances do not produce enough follicles to ensure the development of an ovule, possibly due to poor hormonal secretions from the pituitary gland or the hypothalamus. Sperm are then collected, washed, and added to the eggs in the dish. Y Chromosome Deletions in Azoospermic and Severely Oligozoospermic Men Undergoing Intracytoplasmic Sperm Injection after Testicular Sperm Extraction. (PDF, 336 KB) Human Reproduction, 1998.

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The effects of age on fertility are moderate and do not begin to take an effect until the late 30s. The AZFc Region of the Y Chromosome Features Massive Palindromes and Uniform Recurrent Deletions in Infertile Men. (PDF, 5 MB) Nature Genetics, 2001. The fertilized embryo is then transferred to womb. In vitro fertilization (IVF). In this technique, your doctor places into your uterus that were fertilized in a dish. New Treatment for Infertility Due to Congenital Absence of Vas Deferens. (PDF, 1 MB) The Lancet, 1987.

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1 Among couples 15 to 44 years of age, nearly 7 million have used infertility services at some point. They can also carry out some basic tests on both partners to see if there is an identifiable reason for not having achieved a pregnancy.

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No difference in the pregnancy rate occurs if a skillful microsurgeon or laparoscopist performs the salpingostomy. Successful Autotransplantation of an Intra-abdominal Testis to the Scrotum by Microvascular Technique. (PDF, 11 MB) The Journal of Urology, 1976. Open-ended Vasectomy, Sperm Granuloma, and Postvasectomy Orchialgia. (PDF, 13 MB) Fertility and Sterility, 1979. Infertility may be caused by blockage of the Fallopian tube due to malformations, infections such as chlamydia or scar tissue. Exposure to some chemicals: Some pesticides, herbicides, metals, such as lead, and solvents have been linked to fertility problems in both men and women. However, early referral of infertile couples to a dedicated specialist infertility clinic may be indicated to increase their chance of pregnancy (Table ). Although many of these can be treated through surgery or hormonal substitutions, some may be indefinite.[59] Infertility associated with viable, but immotile sperm may be caused by primary ciliary dyskinesia. If a woman has cycles at intervals of greater than 35 days, it may indicate that she is not ovulating an egg predictably, or even at all. Products include enzymes and proteases to liquefy the seminal coagulum.