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Low sperm mobility (motility): The sperm cannot "swim" as well as they should to reach the egg. A doctor injects sperm directly into the egg in a dish and then places it into your uterus. Their cumulative probabilities of conception are 60% within the first 6 months, 84% within the first year, and 92% within the second year of regular fertility-focused sexual activity. Medical conditions Some medical conditions can affect fertility.

The normal working of the male reproductive system involves first the production of sufficient numbers of functional sperm cells and then the delivery of these sperm to the ejaculate. It's sometimes done while you're taking meds that help trigger the release of an egg. Ovulation should be documented by serum progesterone level measurement at cycle day 21. Ectopic pregnancy This is when a fertilized egg implants outside the womb, usually in a fallopian tube.

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Sperm are then collected, washed, and added to the eggs in the dish. Disorders of the hypothalamus lead to hypogonadotropic hypogonadism. Source : How To Use California’s Department Of Managed Health Care ... Other medical techniques are e.g. tuboplasty, assisted hatching, and preimplantation genetic diagnosis. Those motile and viable sperm are then placed in a very small amount of solution, and then very gently and painlessly injected into the uterine cavity using a very thin, soft, and flexible catheter. Metformin (Glucophage) is another type of medication that may help you ovulate normally if you have insulin resistance or PCOS (polycystic ovarian syndrome).

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Kidney Transplantation in Inbred Rats. (PDF, 6 MB) The American Journal of Surgery, 1973. Normal Intrauterine Pregnancy After Reversal of Tubal Sterilization in the Wife and Vasectomy in the Husband.(PDF, 1 MB) Fertility and Sterility, 1978. National Collaborating Centre for Women's and Children's Health. Environmental vs Genetic Sex Determination: A Possible Factor in Dinosaur Extinction? (PDF, 307 KB) Fertility and Sterility, 2004. Unexplained infertility[edit] In the US, up to 20% of infertile couples have unexplained infertility.[61] In these cases abnormalities are likely to be present but not detected by current methods. Techniques for the Resolution of Testicular Obstruction. (PDF, 8 MB) Chapter 78 from textbook, Reconstructive Urology, 1992.

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Unexplained infertility[edit] In the US, up to 20% of infertile couples have unexplained infertility.[61] In these cases abnormalities are likely to be present but not detected by current methods. PID is a major cause of tubal infertility and can lead to ectopic pregnancy, which may further damage the reproductive system. Microsurgery of the Male Genitalia for Infertility. (PDF, 8 MB) Chapter 59 from Reconstructive Urologic Surgery, 1994. It's used to remove polyps and fibroid tumors, divide scar tissue, and open up blocked tubes. 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. 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. Surgery for epididymal blockage: A blocked epididymis can be surgically repaired. Reduced fecundability in women with prenatal exposure to cigarette smoking. Apparently there are only 0,014% of them (this could be an explanation of why they were not discovered until now).