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Requirements for Female Fertility One of the requirements for female fertility is a functioning reproductive anatomy and physiology. Pregnancies after Testicular Sperm Extraction and Intracytoplasmic Sperm Injection in Non-obstructive Azoospermia. (PDF, 3 MB) Human Reproduction, 1995. Counseling Fertility clinics should address the psycho-social and emotional needs of infertile couples as well as their medical needs.

A uterus capable of developing and sustaining the conceptus to maturity. Severe ovarian hyperstimulation syndrome is characterized by easily palpable ovaries, severe ascites, nausea, vomiting, diarrhea, shortness of breath, hydrothorax, peripheral edema, oliguria, hemoconcentration (eg, hematocrit level >48% and hemoglobin level >16 g), and creatinine level greater than 1. After a woman ovulates, her body temperature rises by as much as 0. About a third of the time, infertility can be traced to the woman.

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According to Ross, “anything that improves quality of health, like adequate sleep and nutrition,” should improve fertility. For unknown reasons, as women age, egg numbers decrease at a rapid rate. Unhealthy living and poor eating habits, as well as exposure to toxic substances such as alcohol, tobacco and other contaminants, also have a negative impact on fertility. 44 Therefore, a simple recommendation is for vaginal intercourse every two to three days to optimize the chance of pregnancy. Moderate alcohol consumption has not been shown to lower fertility in most men, but it may affect those who already have a low sperm count. Medical manipulation with prostaglandins is usually unrewarding, and ovariectomy with histopathology is indicated.

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If conservative medical treatments fail to achieve a full term pregnancy, the physician or WHNP may suggest the patient undergo in vitro fertilization (IVF). This pattern has been linked with aggressive behavior. Treatment of tubal obstruction generally requires referral for subspecialty care.

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One-third of couples will discover fertility problems in only the woman. IVF in action Intracytoplasmic sperm injection (ICSI): A single sperm is injected into an egg to achieve fertilization during an IVF procedure. On Regenerating the Ovary and Generating Controversy. (PDF, 37 KB) Cell, 2005. Ejaculation disorders Ejaculation disorders include premature ejaculation, anejaculation (the failure to ejaculate), and retrograde ejaculation, which is when semen enters the bladder during orgasm instead of coming out the tip of the penis. This is obviously extremely distressing for the couples involved. Removal of polyps by the minimally invasive procedure hysteroscopy is associated with a doubling of pregnancy rate. Outlook For couples who experience fertility problems and those who wish to have children at an older age, there are more options available than ever before. Epididymal Surgery. (PDF, 8 MB) Chapter 8 from textbook, Infertility, 1992. The doctor or WHNP may also be able to suggest lifestyle changes to increase the chances of conceiving.[65] Women over the age of 35 should see their physician or WHNP after six months as fertility tests can take some time to complete, and age may affect the treatment options that are open in that case. Women older than 35 years or couples with known risk factors for infertility may warrant evaluation at six months. Perfect Anatomical Reconstruction of Vas Deferens with a new Microscopic Surgical Technique. (PDF, 19 MB)Fertility and Sterility, 1977. Renal Echinococcus. (PDF, 1 MB) The Journal of Urology, 1972. This mucus mainly affects the lungs, but males may also have a missing or obstructed vas deferens. Testicular Transplantation and Autotransplantation. (PDF, 8 MB) Chapter 22 of textbook, Extracorporeal and Microvascular Surgery, 1982. Reduced fecundability in women with prenatal exposure to cigarette smoking. It is found in approximately 10-50% of reproductive-aged women and can be associated with infertility as well as pain during intercourse and/or menstrual periods.