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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. Prior surgeries Certain surgeries may prevent you from having sperm in your ejaculate, including vasectomy, inguinal hernia repairs, scrotal or testicular surgeries, prostate surgeries, and large abdominal surgeries performed for testicular and rectal cancers, among others. The effects of age on fertility are moderate and do not begin to take an effect until the late 30s.

Varicocele A varicocele is a swelling of the veins that drain the testicle, which can impact sperm quality. Factors affecting Fertility Frequency/Timing of sexual intercourse: - Every 2 to 3 days optimises the chance of pregnancy Obesity: - Women who have BMI of over 30 should be informed that they are likely to take longer to conceive and will affect treatment success rates. Around one third of couples have difficulty conceiving due to a low sperm count. Pregnancy with Sperm Aspiration from the Proximal Head of the Epididymis: A New Treatment for Congenital Absence of the Vas Deferens. (PDF, 2 MB) Fertility and Sterility, 1988.

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Other medical techniques are e.g. tuboplasty, assisted hatching, and preimplantation genetic diagnosis. Surgical procedures for women If the fallopian tubes are blocked or scarred, surgical repair may make it easier for eggs to pass through. Pregnancy After Testicular Transplant: Importance of Treating the Couple. (PDF, 5 MB) Fertility and Sterility, 1980. Large submucosal uterine fibroids may make the uterus' cavity bigger, increasing the distance the sperm has to travel. The chromosomal pattern of the resultant embryos can be assessed with preimplantation genetic diagnosis. Your physician will discuss these approaches to having a baby if appropriate to your particular case.

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Chlamydia test: Chlamydia can affect fertility, but antibiotics can treat it. Although many of these can be treated through surgery or hormonal substitutions, some may be indefinite.[59] Infertility associated with viable, but immotile sperm may be caused by primary ciliary dyskinesia. Testicular histology typically reveals a decreased number of Leydig cells and decreased spermatogenesis. The length of postoperative stay in the hospital is minimal, and same-day discharges are possible in cases of early morning procedures. 41 Treatment of Unexplained Infertility Jump to section + Couples who have no identified cause of infertility should be counseled on timing of intercourse for the most fertile period (i.e., the six days preceding ovulation). Tests and trials are available, but testing does not always reveal a specific cause.

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Young syndrome is a condition that leads to inspissation of material and subsequent blockage of the epididymis. No Differences in Outcome after Intracytoplasmic Sperm Injection with Fresh or with Frozen-thawed Epididymal Spermatozoa. (PDF, 66 KB) Human Reproduction, 1999. Because of the risk of thrombosis, heparin (5000 U SC q12h) is recommended. [195] Some have had success treating severe ovarian hyperstimulation syndrome on an outpatient basis by performing aggressive transvaginal paracentesis with good outcomes. [199] hMG and its derivatives are indicated for ovulation induction in patients with primary amenorrhea due to hypopituitarism and in patients with secondary amenorrhea who did not respond to CC ovulation induction. Polycystic ovary syndrome (PCOS): The ovaries function abnormally and ovulation may not occur. There are numerous conditions that can contribute to infertility in men and women. It is found in approximately 10-50% of reproductive-aged women and can be associated with infertility as well as pain during intercourse and/or menstrual periods. Judaism and Repoductive Technology. (PDF, 160 KB) 2003. Epidemiology of Sterility and Infertility Sterility and infertility affect about 10 – 15% of couples.