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Women in group III can conceive only with oocyte donation and in vitro fertilization. IVF and related techniques (ICSI, ZIFT, GIFT) are called assisted reproductive technology (ART) techniques. Some uterine and tubal abnormalities, such as adhesions, uterine septum, or fibromyoma, may be corrected by surgical procedures. A Physical Map of the Human Y Chromosome. (PDF, 160 KB) Nature, 2001.

Further investigations 18. Laparoscopy: - Invasive procedure. - to check for pelvic disease; such as endometriosis and to check tubal patency. - therapeutic as in laparoscpic myomectomy and ovarian drilling. Hysteroscopy: - to evaluate uterine cavity. - In case of repeated failed IVF cycles. - therapeutic as in intrauterine septum. The diagnosis of congenital anestrus is based on the age of the animal and exclusion of all other possible causes (including chromosomal defects, endocrine disorders, and previous oophorectomy). Radiation therapy: This can impair sperm production. However, it is widely acknowledged by doctors that it is usually very difficult for PCOS patients to lose weight. If a blockage is present, surgery may be necessary. A history of pelvic infections or sexually transmitted diseases: Sexually transmitted infections, such as chlamydia or gonorrhea, can cause inflammation and permanent scarring of the fallopian tubes.

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The predictable pregnancy rate for this group is about 5% after timed intercourse, 10% after superovulation with intrauterine insemination (IUI), and 15% to 25% after assisted reproduction techniques (ART) [41]. The fertilized egg moves down the fallopian tube towards the uterus.

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The pulsatile nature of GnRH is essential to normal gonadotropin release; a continuous stimulation inhibits their secretion. Infertility may be caused by blockage of the Fallopian tube due to malformations, infections such as chlamydia or scar tissue. Uterine fibroids Fibroids are noncancerous growths in the uterus. Factors contributing to the formation of antisperm antibodies in women are disturbance of normal immunoregulatory mechanisms, infection, violation of the integrity of the mucous membranes, rape and unprotected oral or anal sex.

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Young syndrome is a condition that leads to inspissation of material and subsequent blockage of the epididymis. Malformation of the eggs themselves may complicate conception. The predictable pregnancy rate for this group is about 5% after timed intercourse, 10% after superovulation with intrauterine insemination (IUI), and 15% to 25% after assisted reproduction techniques (ART) [41]. Homologous insemination refers to the use of sperm from the patient's partner. Intrauterine insemination (IUI): At the time of ovulation, a fine catheter is inserted through the cervix into the uterus to place a sperm sample directly into the uterus. A smaller amount may suggest a structural or hormonal problem leading to deficient semen production; 2) sperm concentration – normal concentration should be at least 20 million sperm per 1 ml of semen. Effectiveness of the postcoital test: randomised controlled trial. Your doctor may suggest that you take gonadotropin if you have unexplained infertility or when other kinds of treatment haven't helped you get pregnant. The Treatment of Azoospermia with Surgery and ICSI. (PDF, 4 MB) Chapter 10 from Male Fertility & Infertility, 1998. Fertility treatments for women Fertility drugs might be prescribed to regulate or induce ovulation. Polycystic ovary syndrome causes infrequent periods or a total absence of them and is the most common cause of anovulation (an absence of ovulation). We generally recommend seeking the help of a reproductive endocrinologist if conception has not occurred within 12 months. They include: Clomifene (Clomid, Serophene): This encourages ovulation in those who ovulate either irregularly or not at all, because of PCOS or another disorder. Lifetime prevalence of infertility and infertility treatment in the UK: results from a population-based survey of reproduction.