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The predictable pregnancy rate for this group is about 5% after timed intercourse, 10% after superovulation with intrauterine insemination (IUI), and 15% to 25% after assisted reproduction techniques (ART) [41]. If conception does not occur after many months or years of trying, it can lead to stress and possibly depression.

Although relatively uncommon, eating disorders can negatively affect menstruation, fertility, and maternal and fetal well-being. This was set up on 1 August 1991 following a detailed commission of enquiry led by Mary Warnock in the 1980s A similar model to the HFEA has been adopted by the rest of the countries in the European Union.

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In vitro fertilization[edit] IVF is the most commonly used ART. They can interfere with implantation or block the fallopian tube, preventing sperm from fertilizing the egg. Congenital disorders and chryptorchidism (undescended testicles). Women in group III can conceive only with oocyte donation and in vitro fertilization.

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The procedure is performed 30-34 hours after the spontaneous LH surge or 36 hours after the administration of 10,000 U of hCG (human chorionic gonadotropin). [110] The sperm is delivered into the endometrial cavity using an intrauterine insemination catheter. Submucosal fibroids are the type if fibroid that has clearly been demonstrated to reduce pregnancy rate, roughly by 50%, and removal of which will double pregnancy rate. Additionally, surgery, radiation or chemotherapy to treat tumors can affect male fertility. Gerrits T, Shaw M (2010). "Biomedical infertility care in sub-Saharan Africa: a social science review of current practices, experiences and view points".

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Up to 2 percent of men are thought to have suboptimal sperm. The four types of third party reproduction are 1) sperm donation – a process by which donated sperm is used for insemination in the uterus, or for fertilization of eggs in the IVF process; 2) egg or ovum donation – a process by which an egg donor undergoes an IVF cycle in order to obtain her eggs which are then donated and fertilized. Large submucosal uterine fibroids may make the uterus' cavity bigger, increasing the distance the sperm has to travel. Twelve months is the lower reference limit for Time to Pregnancy (TTP) by the World Health Organization.[7] a woman over 35 has not conceived after six months of contraceptive-free sexual intercourse. However, for certain very poor specimens with low original concentrations of motile sperm, the use of the gradient system results in such a negligible recovery as to render it useless. Microscopic Vasectomy Reversal 30 Years Later: A Summary of 4010 Cases by the Same Surgeon. (PDF, 295 KB)Journal of Andrology, 2004. Patients with azoospermia or severe oligospermia seeking assisted reproductive techniques should be screened. Microsurgery for the Undescended Testicle. (PDF, 5 MB) Urologic Clinics of North America, 1982. Traumatic Renal Hemorrhage Treatment by Arterial Embolization. (PDF, 3 MB) The Journal of Urology, 1973. A typical disease is polycystic ovarian syndrome.