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Ideally, patients respond to replacement with exogenous GnRH or HCG, an LH analogue, although this does not always occur. Fertilization takes place outside the body, and the fertilized egg is reinserted into the woman's reproductive tract, in a procedure called embryo transfer.

Other medical techniques are e.g. tuboplasty, assisted hatching, and preimplantation genetic diagnosis. When the eggs are mature, your doctor collects them with a device called a vaginal ultrasound probe. Male fertility starts declining in their thirties, while women older than 35 years may experience problems conceiving.

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Vasectomy. (PDF, 5 MB) From the Encyclopedia of Reproduction, 1999. This process bypasses the normal fertilization process, which may be compromised due to poor sperm function.

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As they respond to hormones the same way as they would do in the uterus, that is by growing and shedding cyclically, endometriosis can cause both fallopian tube and ovarian scarring. Any abnormality in the tubes can affect or impede conception: hydrosalpinx, tubal occlusion or salpingitis. Once the follicles (fluid filled sacs containing the eggs) reach a mature size, an HCG injection is administered which leads to final development and maturation of the eggs. Sperm Granuloma and Reversibility of Vasectomy. (PDF, 11 MB) Lancet, 1977. Regression of Metastases after Nephrectomy for Renal Cell Carcinoma. (PDF, 1 MB) British Journal of Urology, 1975.

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Between 45 and 50 percent of cases are thought to stem from factors that affect the man. Unexplained infertility is not the same thing as having no explanation, but rather reflects the fact that the tests performed have been normal. The doctor may ask about the couple's sexual habits and make recommendations regarding these. Infertility service use in the United States: data from the National Survey of Family Growth, 1982–2010. Even if you are diagnosed with infertility, you may still be able to conceive.Continued Hysteroscopy . In this procedure, your doctor places a hysteroscope into your uterus through your cervix. We generally recommend seeking the help of a reproductive endocrinologist if conception has not occurred within 12 months. The identification of anovulation is not easy; contrary to what is commonly believed, women undergoing anovulation still have (more or less) regular periods.