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An ultrasound scan can detect an ectopic pregnancy. There is no reliable means to predict whether the use of any treatment option will be successful and after how many attempts. Only 5-10% of these couples eventually achieve a pregnancy within 5 years. Laparotomy with histopathology is usually indicated, because medical attempts at inducing ovulation (human chorionic gonadotropin, FSH, GnRH) are usually unrewarding. Optimizing natural fertility: a committee opinion.

Ejaculatory Duct Obstruction. (PDF, 3 MB) The Journal of Urology, 1980. Patients are often short, with small firm testis and gynecomastia, but they have a normal-sized penis. The patient should be abstinent for 2-3 days prior to maximize sperm number and quality.

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This reduction division (ie, meiosis) results in a haploid chromosome number. Patients are often short, with small firm testis and gynecomastia, but they have a normal-sized penis. Evaluation of the uterus and fallopian tubes can be performed by hysterosalpingography in women with no risk of obstruction. S. women, or 6% of the married population 15 to 44 years of age, reported infertility, and 6. The content of counselling may differ depending on the concerned couple and the existing treatment options. If natural selection is the primary error correction mechanism that prevents random mutations on the Y chromosome, then fertility treatments for men with abnormal sperm (in particular ICSI) only defer the underlying problem to the next male generation.

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IVF is Generally Performed in the Following Manner: The woman undergoes gonadotropin injections, which stimulate the ovaries to produce many eggs. 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. Ovulation of the egg occurs approximately 2 weeks before the start of the next period. Factors Affecting Fertility: Frequency of Intercourse Various factors may adversely affect fertility. Sulfasalazine: This anti-inflammatory drug can significantly lower a man's sperm count. Normal Pregnancies Resulting from Testicular Sperm Extraction and Intracytoplasmic Sperm Injection for Azoospermia Due to Maturation Arrest. (PDF, 6 MB) Fertility and Sterility, 1996.

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Chemotherapy: Some types may significantly reduce sperm count. Because of the intimate relationship between the fallopian tubes and the other pelvic organs and because, in the great majority of the cases, peritoneal pathology involves tubal pathology, the treatments of these factors are discussed together. Treatment is with exogenous gonadotropins and iron-chelating therapy. Ejaculation disorders: If the ejaculatory ducts are blocked, semen may be ejaculated into the bladder Hormonal imbalance: Hypogonadism, for example, can lead to a testosterone deficiency. Cystic fibrosis: This is a chronic disease that results in the creation of a sticky mucus. Fertilizing Capacity of Epididymal and Testicular Sperm with ICSI. (PDF, 5 MB) Frontiers in Endocrinology, 1995. Poor egg quality: Eggs that are damaged or develop genetic abnormalities cannot sustain a pregnancy. The Disappearing Y Chromosome – “I Told You So!” (PDF, 266 KB) Human Reproduction, 1997. Coital frequency is positively correlated with pregnancy rates.