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Implantation: the process when the fertilized egg attaches to the uterine wall. For example, treatment for Hodgkin disease has been estimated to lead to infertility in as many as 80-100% of patients. 6,28 Additionally, postcoital testing of cervical mucus is no longer recommended because it does not affect clinical management or predict the inability to conceive.

Sperm can survive inside the female for up to 5 days, while an egg can be fertilized for up to 1 day after ovulation. Successful Autotransplantation of an Intra-abdominal Testis to the Scrotum by Microvascular Technique. (PDF, 11 MB) The Journal of Urology, 1976.

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Fertility Evaluation: Obstetric and Gynecological History The obstetric and gynecological history should include: Reproductive history (children, mode of delivery, prematurity, stillbirth, extrauterine pregnancy, spontaneous and induced abortion, fertility and infertility in earlier relationships). About 10% of reproductive age women are affected by endometriosis. Poor egg quality: Eggs that are damaged or develop genetic abnormalities cannot sustain a pregnancy. Chemotherapy: Some types may significantly reduce sperm count. 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. Ideally, using strict morphology criteria, a minimum of 5 – 15% normal forms leads to a better ability for sperm to fertilize the egg.

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Blood tests that might be needed include day 3 follicle stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E2), AMH, prolactin, testosterone (T), progesterone (P4), 17-hydroxyprogesterone (17-OHP), thyroxin (T4), thyroid stimulating hormone (TSH). Infertility rates have increased by 4% since the 1980s, mostly from problems with fecundity due to an increase in age.[72] Fertility problems affect one in seven couples in the UK. Factors Affecting Fertility: Timing of Intercourse Intercourse prior to ovulation is key to maximizing the chance of pregnancy.

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Egg donation. This can help you if you have ovaries that don't work right but you have a normal uterus. Inhibin B levels have been reported to decrease with increasing weight, which results in decreased Sertoli cells and sperm production. One of the best known is the HFEA – The UK's regulator for fertility treatment and embryo research. This abnormality is usually surgically corrected in infancy. Sperm count often returns to normal after stopping the medication. Counseling Fertility clinics should address the psycho-social and emotional needs of infertile couples as well as their medical needs. Bhaskar Dutta/Photoshare Clinical definitions Infertility is “a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse.”… (WHO-ICMART glossary1). “Infertility is the inability of a sexually active, non-contracepting couple to achieve pregnancy in one year. Problems in the uterus or fallopian tubes can prevent the egg from traveling from the ovary to the uterus, or womb. For instance, women with hyper or hypo-thyroidism sometimes have ovulation problems. Intracytoplasmic Sperm Injection. (PDF, 4 MB) Chapter 47 from textbook Current Therapy in Equine Reproduction, 2006. Intracytoplasmic Sperm Injection. (PDF, 4 MB) Chapter 47 from textbook Current Therapy in Equine Reproduction, 2006. Additionally, multiple pregnancies cumulatively occur after ovarian stimulation. You have never had a period, or periods suddenly stop. Semen is the milky fluid that a man's penis releases during orgasm. 6,8 It is important for primary care physicians to be familiar with the workup and prognosis for infertile couples. 30–32 Other treatment options include antiestrogens and gonadotropin therapy, which showed a trend toward increased live birth rates in a Cochrane review. Unexplained fertility affects about 10 percent of couples worldwide.