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Sperm can survive inside the female for up to 5 days, while an egg can be fertilized for up to 1 day after ovulation. Three main events necessary for pregnancy to occur are: Ovulation: the process by which the mature egg is released from one of the woman’s ovaries.

As a result, infertility has come to be defined as the inability to conceive within 12 months. It is in fact possible to restore ovulation using appropriate medication, and ovulation is successfully restored in approximately 90% of cases.

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Ovulation usually occurs within the 32-40 hours after the indicative color change. A failure of GnRH neurons to migrate to the proper location in the hypothalamus has been implicated. If too many embryos develop, one or more can be removed. Options include intrauterine insemination (also known as IUI) or IVF with intracytoplasmic sperm injection (also known as ICSI). Inhibin B levels have been reported to decrease with increasing weight, which results in decreased Sertoli cells and sperm production.

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No Differences in Outcome after Intracytoplasmic Sperm Injection with Fresh or with Frozen-thawed Epididymal Spermatozoa. (PDF, 66 KB) Human Reproduction, 1999. It involves: A vagina capable of receiving sperm. Human chorionic gonadotropin (Ovidrel, Pregnyl): Used together with clomiphene, hMG, and FSH, this can stimulate the follicle to ovulate.

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Women in group III can conceive only with oocyte donation and in vitro fertilization. It's sometimes done while you're taking meds that help trigger the release of an egg. Hyperprolactinemia: If prolactin levels are high, and the woman is not pregnant or breastfeeding, it may affect ovulation and fertility. A complete pelvic exam should reveal any uterine hypoplasia, fibroids, adnexal tumors or cervical lesions and should indicate whether dyspareunia may be a problem. The quality and quantity of eggs begin to decline by the early 30s and drop even further as a woman approaches the age of 40. The most common identifiable causes of female fertility problems are outlined below: • Ovulatory dysfunction, (or anovulation) where an egg is not released from the ovary every month, is the single most common cause of female infertility. Worldwide, 8 to 12 percent of couples experience fertility problems. Vasectomy Reversal. (PDF, 733 KB) The New England Journal of Medicine, 1977. 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.