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Possible causes include the egg not being released at the right time, the egg’s inability to reach the fallopian tube, or the sperm’s inability to reach the egg. Epidemiological definition of infertility (for monitoring and surveillance) Women of reproductive age (15–49 years) at risk of becoming pregnant (not pregnant, sexually active, not using contraception and not lactating) who report trying unsuccessfully for a pregnancy for two years or more. (Reproductive Health Indicators) Infertility as a disability Disability: Infertility generates disability (an impairment of function), and thus access to health care falls under the Convention on the Rights of Persons with Disability. Patients with a grade 1-3 varicocele (visible or palpable) associated with infertility should consider having the varicocele repaired. Today, it is feasible by using a gestational carrier. Modifiable and non-modifiable risk factors for poor semen quality: a case-referent study. Donor semen should be free from any STI-producing organisms, including HIV.

The results of these tests help determine the best fertility treatment. This results in normal or enhanced follicular recruitment without the risk of multiple ovulation and ovarian hyperstimulation syndrome. This technological innovation provided the means to project a magnified view of the operative field onto a monitor and, at the same time, freed both the operating surgeon's hands, thereby facilitating performance of complex laparoscopic procedures. There are three main types of fertility treatment: medical treatment (such as ovulation induction therapy); surgical treatment (such as laparoscopy and hysteroscopy); and the different assisted reproduction techniques [37].

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To Transplant or Not to Transplant – That Is the Question. (PDF, 3 MB) 2010. Most couples (about 84%) who have regular sexual intercourse (that is, every two to three days) and who do not use contraception get pregnant within a year. It involves removing eggs from the ovary of a donor who has taken fertility drugs.

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GIFT (gamete intrafallopian tube transfer) and ZIFT (zygote intrafallopian transfer).  Like IVF, these procedures involve retrieving an egg, combining it with sperm in a lab, and then transferring it back to your body. While these injuries are rare, significant complications can occur, and they are primarily related to the umbilical insertion site.

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In this treatment, millions of healthy sperm are injected into the woman’s uterus at the time of ovulation.  IVF: The most effective assisted reproductive treatment is in vitro fertilization or IVF. A doctor injects sperm directly into the egg in a dish and then places it into your uterus. This may be used if IVF has not been effective, if there has been poor embryo growth rate, and if the woman is older. Based on numerous prospective randomized controlled trials, the approach has proven to be beneficial in reducing post-operative morbidities such as wound infections and incisional hernias (especially in morbidly obese patients), and is now deemed safe when applied to surgery for cancers such as cancer of colon.[6][7] Laparoscopic instruments. Hypospadias affects about 1 in every 500 newborn boys. Eating disorders such as anorexia nervosa are also associated with extremely low BMI. Pretesticular causes of infertility Pretesticular causes of infertility include congenital or acquired diseases of the hypothalamus, pituitary, or peripheral organs that alter the hypothalamic-pituitary axis.