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Women receiving fertility treatment have a slightly higher risk of an ectopic pregnancy. Chemotherapy: Some chemotherapy drugs can result in ovarian failure. Assisted Reproductive Technology: Using Ejaculated, Fresh, and Frozen-thawed Epididymal and Testicular Spermatozoa Gives Rise to Comparable Results after Intracytoplasmic Sperm Injection. (PDF, 5 MB) Fertility and Sterility, 1995. The pituitary gland is controlled by the hypothalamus. To examine the sperm motility in the cervical mucus, the postcoital test is made. The corollary to this is that, by definition, failure to conceive in women under 35 isn't regarded with the same urgency as it is in those over 35.

Graft-versus-host Reactivity and Renal Allograft Survival in Rats Given Allogeneic Spleen Cells or Spleen Allografts.(PDF, 2 MB) Transplantation, 1976. A high serum estradiol level (greater than 60 to 80 pg per mL [220 to 294 pmol per L]) in conjunction with a normal FSH level has also been associated with lower pregnancy rates. Frequency of intercourse The couple may be advised to have sexual intercourse more often around the time of ovulation. Predominantly anovulation is caused by hormonal imbalances such as Polycystic Ovarian Syndrome (PCOS) but ovarian scarring and premature menopause can also result in failure to ovulate. • Tubal disease, comprising anything from mild adhesions to complete blockage of the fallopian tubes, prevents fertilised eggs from travelling from the site of fertilisation to the uterus. Opinion: Microsurgical TESE and the Distribution of Spermatogenesis in Non-obstructive Azoospermia. (PDF, 5 MB)Human Reproduction, 2000.

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Isodicentric Y Chromosomes and Sex Disorders as Byproducts of Homologous Recombination that Maintains Palindromes. (PDF, 1 MB) Cell, 2009. The ordered sequence of release is important for appropriate functioning.

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Having sex near the time of ovulation is the best way to increase the chance of becoming pregnant. Epididymal Surgery. (PDF, 8 MB) Chapter 8 from textbook, Infertility, 1992. This should be followed by documentation of ovulation via serum progesterone.

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They can interfere with implantation or block the fallopian tube, preventing sperm from fertilizing the egg. Paternal age > or = 40 years: an important risk factor for infertility. When Predictions Don’t Predict. (PDF, 549 KB) The Australian and New Zealand Journal of Obstetrics and Gynaecology, 1991. In addition, if a man’s sperm do not move correctly, they may not be able to meet with and fertilize an egg. 549 KB Effect of Age on Male Fertility. (PDF, 5 MB) Chapter from textbook, Seminars in Reproductive Endocrinology, 1991. And about 15% of infertile men have normal semen and plenty of normal sperm. Obesity may also lead to less frequent ovulation or to less frequent intercourse, thereby contributing to fertility problems. Sex any time in the five days before ovulation can create a pregnancy. The patency of the fallopian tubes can also be checked. Ovarian Transplantation between Monozygotic Twins Discordant for Premature Ovarian Failure. (PDF, 315 KB) The New England Journal of Medicine, 2005. Men who are underweight tend to have lower sperm concentrations than those who are at a normal BMI. If the obstruction is caused by salpingitis isthmica nodosa or fibrosis, the best results are achieved through IVF. [142] Surgical preparation for IVF While the surgeon should be as conservative as possible, he or she should consider that the patient is better served with a single well-functioning fallopian tube than with 2 defective tubes, which elicits an increased risk for ectopic pregnancy or recurrence of pelvic adhesions.