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Ovulation disorders appear to be the most common cause of infertility in women. Women in group III can conceive only with oocyte donation and in vitro fertilization. The findings of the biopsy help determine whether the endometrium is adequately developed to support implantation and growth of a fertilized egg.

Heavy, long, or painful periods Heavy periods may indicate an underlying condition affecting fertility. The ovum has a much shorter life expectancy – less than 1 day if it is not fertilized. Surgical procedure to conserve the uterus for future pregnancy in patients suffering from massive adenomyosis.(PDF, 958 KB) Reproductive BioMedicine Online, 2010.

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An Azoospermic Man with a do novo Point Mutation in the Y-chromosome Gene USP9Y. (PDF, 381 KB) Nature Genetics, 1999. Low weight: Obesity is not the only way in which weight can impact fertility. During this time, the cells cross from the basal to the adluminal compartments. Evaluation of the Female Partner: Other Tests Other tests to evaluate a woman’s fertility include: Hysterosalpinogram (HSG). One of such conditions is a varicocele – one of the major causes of male infertility – that occurs when a vein that carries blood out of the scrotum dilates. Painful or heavy periods Most women experience cramps with their periods.

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Endometrial biopsy should be performed only in women with suspected pathology (chronic endometritis or neoplasia). Other causes may include: Genetic factors: A man should have an X and Y chromosome. In order to maximize the patient’s chances for successful fertilization, physicians typically use ovarian stimulation medications rather than using the single egg normally developed each cycle.

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The rising number of obese individuals may be due in part to an energy-rich diet as well as insufficient physical exercise.  In addition to other potential health risks, obesity can have a significant impact on male and female fertility. Only active, undamaged sperm are chosen for injections. And as aging occurs, egg quality, or the likelihood of an egg being genetically normal, decreases as well. Injuries include abdominal wall hematoma, umbilical hernias, umbilical wound infection, and penetration of blood vessels or small or large bowel.[24] The risk of such injuries is increased in patients who have a low body mass index[25] or have a history of prior abdominal surgery. After injection of the sperm, the patient remains in the recumbent position for 10-15 minutes. For women, being underweight and having extremely low amounts of body fat are associated with ovarian dysfunction and infertility and they have a higher risk for preterm birth. Therefore, it is particularly important to evaluate both partners when investigating infertility.