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If a weight gain greater than 2 lb occurs, the patient should be evaluated to determine if hospitalization is required. The embryos are placed within the tip of the transfer catheter and then injected within the uterine cavity once the catheter is placed through the cervical canal to the ideal spot within the uterus. Through this process, gaps in knowledge and key areas of research required in developing countries and low resource settings will be identified.

Diagnosis of Sterility An important part of the diagnosis is a detailed anamnesis and the routine gynecologic examination. Sperm motility Motility is described as the percent of sperm present with flagellar motion viewed on a bright-field or phase-contrast microscope. These include: Infrequent menstrual periods: When a woman has regular menstrual periods, defined as regular cycles occurring every 21 to 35 days, this almost always indicates that she ovulates regularly.

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This can help a man who cannot ejaculate normally, for example, because of a spinal cord injury. One-third of couples will discover fertility problems in both partners or will have their infertility remain unexplained. Infertility is defined as a failure to conceive within one or more years of regular unprotected coitus. New Concepts in Operative Andrology: A Review. (PDF, 7 MB) International Journal of Andrology, 2000.

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After recovery, the testicle may return to normal or may atrophy. Known uterine fibroids or endometrial polyps: Uterine abnormalities, such as fibroids that indent the endometrial cavity and endometrial polyps, can impair how the endometrium (the lining of the uterus) and embryo interact to lower implantation and pregnancy rates. Infertility tests for women A woman will undergo a general physical examination, and the doctor will ask about her medical history, medications, menstruation cycle, and sexual habits.

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Non-steroidal anti-inflammatory drugs (NSAIDs): Long-term use of aspirin or ibuprofen may make it harder to conceive. Temporal relationship and reliability of the clinical, hormonal, and ultrasonographic indices of ovulation in infertile women. Many men with low sperm counts or abnormal semen are still fertile. Also, polymorphisms in folate pathway genes could be one reason for fertility complications in some women with unexplained infertility.[62] However, a growing body of evidence suggests that epigenetic modifications in sperm may be partially responsible.[63][64] Diagnosis[edit] If both partners are young and healthy and have been trying to conceive for one year without success, a visit to a physician or women's health nurse practitioner (WHNP) could help to highlight potential medical problems earlier rather than later. The effect of age upon men's fertility is less clear.[citation needed] In people going forward for IVF in the UK, roughly half of fertility problems with a diagnosed cause are due to problems with the man, and about half due to problems with the woman. ARTICLES FROM THE 2000s Evaluation and Treatment of Male Infertility. (PDF, 17 MB) Clinical Obstetrics and Gynecology, 2000. Ectopic pregnancy This is when a fertilized egg implants outside the womb, usually in a fallopian tube. Unexplained infertility[edit] In the US, up to 20% of infertile couples have unexplained infertility.[61] In these cases abnormalities are likely to be present but not detected by current methods.