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Chromosomal causes and, in particular, Klinefelter syndrome. The opening improves the ability of the embryo to implant into the uterine lining. Other medical techniques are e.g. tuboplasty, assisted hatching, and preimplantation genetic diagnosis.

Women receiving fertility treatment have a slightly higher risk of an ectopic pregnancy. Check out our online medical courses and start now for free! 2012;27(8):2396–2404.   Want to use this article elsewhere? Hyperprolactinemia: If prolactin levels are high, and the woman is not pregnant or breastfeeding, it may affect ovulation and fertility.

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In some cases, your doctor may recommend a procedure known as intracytoplasmic sperm injection (ICSI). This page covers the possible causes of infertility in men and women. 8  A normal sample according to the 2010 World Health Organization (WHO) guidelines is described in Table 2. Blood, urine, and imaging tests can be done to discover why you are having trouble getting pregnant.

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Happily, many couples treated for infertility are able to have babies. Thus, an intravenous pyelogram must be performed once this diagnosis is made. Other factors, such as luteal phase defect or production of anti-sperm antibodies. The vas is divided into the convoluted, scrotal, inguinal, retroperitoneal, and ampullary regions and receives its blood supply from the inferior vesical artery.

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Bushnik T, Cook JL, Yuzpe AA, Tough S, Collins J. Oligospermia is the most frequent cause of male infertility. The pregnancy rate fluctuates from 20-35%, and the expected ectopic pregnancy rate is as high as 20%. Surgery for epididymal blockage: A blocked epididymis can be surgically repaired. 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. 42 Urinary luteinizing hormone kits indicate the midcycle luteinizing hormone surge that precedes ovulation by one to two days. Eating disorders such as anorexia nervosa are also associated with extremely low BMI. Other considerations include preconception screening and vaccination for preventable diseases such as rubella and varicella, sexually transmitted infections, and cervical cancer, based on appropriate guidelines and risk. Normal Pregnancies Resulting from Testicular Sperm Extraction and Intracytoplasmic Sperm Injection for Azoospermia Due to Maturation Arrest. (PDF, 6 MB) Fertility and Sterility, 1996. Dr Barbieri of Harvard Medical School has indicated that cases of anovulation are quite frequent in women with a BMI (body mass index) over 27 kg/m2.[6][7][8] Unfortunately, not only does excess weight have a negative impact on ovulation itself,[9] but also on treatment efficacy and outcomes of ART (assisted reproductive technique).[10][11] Diagnosis[edit] Fertility awareness and LH measurement[edit] Symptoms-based methods of fertility awareness may be used to detect ovulation or to determine that cycles are anovulatory.