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Fertilization takes place outside the body, and the fertilized egg is reinserted into the woman's reproductive tract, in a procedure called embryo transfer. Pregnancies after Testicular Sperm Extraction and Intracytoplasmic Sperm Injection in Non-obstructive Azoospermia. (PDF, 3 MB) Human Reproduction, 1995.

Financing fertility treatment can also be costly, but there are programs that can help with this.Infertility is the inability of a person, animal or plant to reproduce by natural means. After fertilization, implantation may then take place in the uterus. Prolonged estrus may be caused by ovarian cysts that produce estrogen, functional ovarian tumors, or exogenous estrogens (including human transdermal hormone replacement therapy). Medication. If you have ovulation problems, you may be prescribed drugs such as clomiphene citrate (Clomid, Serophene), gonadotropins (such as Gonal-F, Follistim, Humegon and Pregnyl), or letrozole.

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Chemotherapy: Some chemotherapy drugs can result in ovarian failure. Other factors that can affect a woman's chances of conceiving include being overweight or underweight,[56] or her age as female fertility declines after the age of 30.[57] Sometimes it can be a combination of factors, and sometimes a clear cause is never established.

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Smoking during pregnancy increases the chance of pregnancy loss. Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989. Intracytoplasmic Sperm Injection Today: A Personal Review. (PDF, 5 MB) Human Reproduction, 1998. Young syndrome is a condition that leads to inspissation of material and subsequent blockage of the epididymis. It works in the following way: Clomiphene is an anti-estrogen.

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Oei SG, Helmerhorst FM, Bloemenkamp KW, Hollants FA, Meerpoel DE, Keirse MJ. Luciano AA, Peluso J, Koch EI, Maier D, Kuslis S, Davison E. If the obstruction is caused by salpingitis isthmica nodosa or fibrosis, the best results are achieved through IVF. [142] Surgical preparation for IVF While the surgeon should be as conservative as possible, he or she should consider that the patient is better served with a single well-functioning fallopian tube than with 2 defective tubes, which elicits an increased risk for ectopic pregnancy or recurrence of pelvic adhesions. It involves removing eggs from the ovary of a donor who has taken fertility drugs. The patient should be abstinent for 2-3 days prior to maximize sperm number and quality. Reversal of Vasectomy and the Treatment of Male Infertility. (PDF, 4 MB) Urologic Clinics of North America, 1981. 44 Therefore, a simple recommendation is for vaginal intercourse every two to three days to optimize the chance of pregnancy.