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For a woman to conceive, certain things have to happen: vaginal intercourse must take place around the time when an egg is released from her ovary; the system that produces eggs has to be working at optimum levels; and her hormones must be balanced.[54] For women, problems with fertilisation arise mainly from either structural problems in the Fallopian tube or uterus or problems releasing eggs. The volume summarizes the results gained from the study of more than 10,000 infertile couples, who were investigated as part of the WHO's programme to counter the widespread personal distress caused by infertility. This procedure is performed in the outpatient setting. Couples will have to consider the ethical and emotional aspects of this procedure. Radiation therapy While Leydig cells are relatively radioresistant because of their low rate of cell division, the Sertoli and germ cells are extremely radiosensitive.

BMI (body mass index) may be a significant factor in fertility, as an increase in BMI in the male by as little as three units can be associated with infertility. 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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Effect of metformin on ovulation and reproductive outcomes in women with polycystic ovary syndrome: a meta-analysis of randomized controlled trials. In other cases, the cause is suspected to be immunological or genetic; it may be that each partner is independently fertile but the couple cannot conceive together without assistance.

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The fluid comes from the prostate gland, the seminal vesicle, and other sex glands. Instruments can be introduced through the hysteroscope, allowing the surgeon to remove or correct any anatomic abnormalities. The main reasons for fertility tourism are legal regulation of the sought procedure in the home country, or lower price. Follicle-stimulating hormone (Gonal-F, Bravelle): This hormone is produced by the pituitary gland that controls estrogen production by the ovaries. Mumps: If this occurs after puberty, inflammation of the testicles may affect sperm production.

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Around one third of couples have difficulty conceiving due to a low sperm count. For women aged 35, about 94% who have regular unprotected sexual intercourse get pregnant after three years of trying. Bushnik T, Cook JL, Yuzpe AA, Tough S, Collins J. This procedure is done by ultrasound guidance when the surgeon utilizes a narrow needle to retrieve eggs from the ovary through the vaginal wall.