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Low sperm mobility (motility): The sperm cannot "swim" as well as they should to reach the egg. The vas deferens carries sperm from the epididymis to the ejaculatory duct and the urethra. The fertilized egg is then placed back into the uterus.

Implantation: the process when the fertilized egg attaches to the uterine wall. This leads to the final maturation and release of the egg.

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In humans, infertility is the inability to become pregnant after one year of intercourse without contraception involving a male and female partner.[2] There are many causes of infertility, including some that medical intervention can treat.[3] Estimates from 1997 suggest that worldwide about five percent of all heterosexual couples have an unresolved problem with infertility. The main approach to correcting or removing these uterine abnormalities is by hysteroscopy, a surgical method by which a narrow scope with a camera is placed within the uterine cavity.

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Production of the First Offspring from Oocytes Derived from Fresh and Cryopreserved Pre-antral Follicles of Adult Mice. (PDF, 2 MB) Reproductive BioMedicine Online, 2007. The views expressed in this material are those of the authors, and do not reflect the official policy or position of the U. Serum LH determination is more precise, especially when performed in combination with pelvic ultrasonography. This can make it difficult for the embryo to implant.

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Ejaculation disorders Some men experience ejaculation problems that can make it difficult for them to release semen during sex (ejaculate). Many other surgeons feel that since they will have to make a larger incision for specimen removal anyway, they might as well use this incision to have their hand in the operative field during the procedure to aid as a retractor, dissector, and to be able to feel differing tissue densities (palpate), as they would in open surgery. A decreased testosterone level with an increased FSH level points to primary hypogonadism. Abdominal myomectomy is a surgical procedure performed through a very low horizontal abdominal incision allowing access to the uterus for removal of fibroids. Drugs used for both women and men[67] include clomiphene citrate, human menopausal gonadotropin (hMG), follicle-stimulating hormone (FSH), human chorionic gonadotropin (hCG), gonadotropin-releasing hormone (GnRH) analogues, aromatase inhibitors, and metformin. Both infertility and subfertility are defined as the inability to conceive after a certain period of time (the length of which vary), so often the two terms overlap. 43 Other low-cost methods of monitoring for ovulation, although less effective, include basal body temperature measurements and cervical mucus changes. Gonadotrophins for idiopathic male factor subfertility.