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Ovulation induction agents increase the risk of multiple pregnancy, ovarian hyperstimulation syndrome, and thrombosis, and they may increase the risk of ovarian cancer in women who remain nulliparous. Surgical Management of Male Infertility. (PDF, 2 MB) Chapter 12 from textbook, Male Infertility, 1992.

MESA or TESA? (PDF, 115 KB) Human Reproduction, 1996. Thus one of the requirements is normal spermatogenesis – normal sperm count, motility and biologic structure and function. It does not affect the couples' life only, but it also affects the healthcare services and social environment [4].

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Obesity may also lead to less frequent ovulation or to less frequent intercourse, thereby contributing to fertility problems. By the end of this step, most of healthcare professionals will be able to sketch out their provisional diagnosis. For conception to take place, several events should happen correctly and at exactly the right time. 42 However, none of these methods has been proven to increase pregnancy rates when used to predict timing of intercourse.

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Management of the infertile couple: an evidence-based protocol. Some facts about conception and fertility A doctor can give advice and carry out some preliminary assessments. Lack of estrogen brings about decreased spinnbarkeit of the cervical mucus. Most people will have the strong desire to conceive a child at some point during their lifetime. Programming of Ovarian Stimulation with Norethindrone Acetate in IVF/GIFT Cycles. (PDF, 2 MB) Human Reproduction, 1989.

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The fertilized egg moves down the fallopian tube towards the uterus. This diagnosis is therefore shared by 15% of couples attempting to conceive. There are some common risk factors that can increase the likelihood of a man experiencing some form of reversible or permanent infertility. Studies have shown that approximately 70% of miscarriages are due to chromosomal abnormalities. In order to accomplish this, the semen is washed with a solution safe to sperm and eggs, and then centrifuged to separate motile sperm from immotile sperm and other cells. Some large breeds of dogs may not have their first estrus until they are ≥2 yr old, and some individuals and some breeds typically have only one estrous cycle each year. Compensatory and Obligatory Renal Growth in Rats. (PDF, 1 MB) American Journal of Physiology, 1974.