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A cumulative pregnancy rate of 80% is achieved during the first 6 cycles of therapeutic insemination. In 1978, the first baby was born as a result of IVF. A history and physical examination can help direct the evaluation. In closed social groups, a degree of rejection (or a sense of being rejected by the couple) may cause considerable anxiety and disappointment. Secondary infertility When a woman is unable to bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth following either a previous pregnancy or a previous ability to carry a pregnancy to a live birth, she would be classified as having secondary infertility.

In fact, endometriosis accounts for roughly 20 to 40 percent of women’s infertility issues.  Pain during sex: Painful sex for women is so normalized that many think it’s just a part of life. Other symptoms of endometriosis include: chronic pelvic pain (not only during menstruation) pain during sex back pain fatigue nausea irregular periods and spotting bowel problems or pain with bowel movements Dark or pale menstrual blood If menstrual blood is regularly paler than usual, this may be a cause for concern. On Regenerating the Ovary and Generating Controversy. (PDF, 37 KB) Cell, 2005. Three modalities are used to treat myomas: medical treatment, surgical treatment, and embolization.

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Infertility Center in Lahore

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4 pmol/l for a low response and greater than or equal to 25. Evaluation may be initiated sooner in patients who have risk factors for infertility or if the female partner is older than 35 years. This can happen as a result of: an infection of your testicles testicular cancer  testicular surgery a problem with your testicles you were born with (a congenital defect) when one or both testicles hasn't descended into the scrotum, the loose sac of skin that contains your testicles (undescended testicles) injury to your testicles Sterilisation Some men choose to have a vasectomy if they don't want children or any more children.  It involves cutting and sealing off the tubes that carry sperm out of your testicles (the vas deferens) so your semen will no longer contain any sperm. In-vitro fertilization and donor insemination are major procedures involved. Uterine surgery: - Women with amenorrhoea who are found to have intrauterine adhesions should be offered hysteroscopic adhesiolysis because this is likely to restore menstruation and improve the chance of pregnancy.

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They can include: Changes in hair growth Changes in sexual desire Pain, lump, or swelling in the testicles Problems with erections and ejaculation Small, firm testicles   When to See the Doctor If you are under 35 and have been trying to get pregnant without success for a year, see your doctor. This can help a man who cannot ejaculate normally, for example, because of a spinal cord injury. 8,26,27 As opposed to laparoscopy or hysteroscopy, hysterosalpingography is a minimally invasive procedure with potentially therapeutic effects and should be considered before more invasive methods of assessing tubal patency.

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Overheated testicles: Causes include an undescended testicle, a varicocele, or varicose vein in the scrotum, the use of saunas or hot tubs, wearing tight clothes, and working in hot environments. Therefore, pelvic ultrasonography is required before CC is initiated. [207] Pure FSH treatment for ovulation induction is another alternative for patients with PCOS who are clomiphene resistant. In patients with varicocele, there is insufficient evidence to suggest corrective surgery will increase live birth rates, despite improvement in semen analysis results. If fertilization occurs, the developing embryos remain in the fallopian tube and then move to the uterus for the natural implantation process to be completed. If the E2 level is below 100 pc/mL and the sonogram shows small follicular development, hMG is increased to 150 IU/day for an additional 5 days. Intracytoplasmatic Sperm Injection (ICSI) An intracytoplasmatic sperm injection is also a form of artificial insemination. Role of Semen Analysis in Subfertile Couples. (PDF, 250 KB) Fertility and Sterility, 2010. Management of ejaculatory failure: - Can be of great value as in retrograde ejaculation.


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