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In many cases, cornual obstruction diagnosed on HSG represents simple cornual spasm. For women aged 35, about 94% who have regular unprotected sexual intercourse get pregnant after three years of trying.

The identification of anovulation is not easy; contrary to what is commonly believed, women undergoing anovulation still have (more or less) regular periods. Submucosal fibroids are the type if fibroid that has clearly been demonstrated to reduce pregnancy rate, roughly by 50%, and removal of which will double pregnancy rate.

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Heavy alcohol use (more than four to five drinks a day). The results of these tests help determine the best fertility treatment.

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The pituitary gland produces these hormones, so any problems with this gland may also influence infertility. A thorough physical exam can detect varicocele and give clues to hormone problems. About 10% to 15% of couples will not be able to achieve pregnancy after one year of unprotected intercourse. Damaged Sperm Ducts: Seven percent of infertile men cannot transport sperm from their testicles to out of their penis.  This pathway may be blocked by a number of conditions: · A genetic or developmental mistake may block or cause the absence of one or both tubes (which   transport the sperm from the testes to the penis). · Scarring from tuberculosis or some STDs may block the epididymis or tubes. · An elective or accidental vasectomy may interrupt tube continuity. Some causes, such as hyperprolactinemia, are reversible with proper treatment. Microscopic Vasoepididymostomy: Specific Microanastomosis to the Epididymal Tubule. (PDF, 15 MB) Fertility and Sterility, 1978.

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They can also carry out some basic tests on both partners to see if there is an identifiable reason for not having achieved a pregnancy. In-vitro fertilization (IVF): Sperm are placed with unfertilized eggs in a petri dish, where fertilization can take place. 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. Often, in vitro fertilization (IVF) can reveal abnormalities in egg quality, sperm function, or embryo development that would not have been determined from standard testing. The Fate of Non-absorbable Intraureteral Suture. (PDF, 233 KB) The Journal of Urology, 1973. Patients with adrenal hyperplasia and other disorders must be treated with prednisone. ARTICLES FROM THE 2010s Ovarian Function 6 Years after Cryopreservation and Transplantation of Whole Sheep Ovaries. (PDF, 496 KB)Reproductive BioMedicine Online, 2010. If your cycles are infrequent or irregular, your doctor will examine you and perform the appropriate testing to discover which problem you may have and present the appropriate treatment options.