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Ovulation induction is somewhat different from controlled ovarian hyperstimulation, which involves the use of some of the same medications to stimulate the development of multiple mature follicles and eggs in order to increase pregnancy rates with various infertility treatments. Effectiveness of the postcoital test: randomised controlled trial. Environmental vs Genetic Sex Determination: A Possible Factor in Dinosaur Extinction? (PDF, 307 KB) Fertility and Sterility, 2004.

Couples who do not conceive after treatment for six cycles with documented ovulation should also consider referral to an infertility specialist. If a lack of sperm is suspected, surgery, hormones and assisted reproductive surgery can correct the problem. Most couples (about 84%) who have regular sexual intercourse (that is, every two to three days) and who do not use contraception get pregnant within a year. In this condition, semen ejaculates backwards into the bladder instead of out the penis.

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Individual tests evaluate only one aspect of a quality necessary for fertility and do not imply the ability or inability to achieve conception (see the Table in the Procedures section). Ovulation induction agents increase the risk of multiple pregnancy, ovarian hyperstimulation syndrome, and thrombosis, and they may increase the risk of ovarian cancer in women who remain nulliparous.

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Fertility treatments for men Treatment will depend on the underlying cause of the infertility. A woman of reproductive age who has not conceived after 1 year of unprotected vaginal sexual intercourse, in the absence of any known cause of infertility.

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We can sometimes see evidence of pelvic scarring, such as when an ovary appears to be stuck to the uterus. It also gives them more options in dealing with unexpected adverse events (e.g., uncontrolled bleeding) that may otherwise require creating a much larger incision and converting to a fully open surgical procedure.[5] Conceptually, the laparoscopic approach is intended to minimise post-operative pain and speed up recovery times, while maintaining an enhanced visual field for surgeons. Other medical techniques are e.g. tuboplasty, assisted hatching, and preimplantation genetic diagnosis. Therefore, we recommend an evaluation if menstrual cycles are infrequent or irregular in a couple attempting pregnancy. Their cumulative probabilities of conception are 60% within the first 6 months, 84% within the first year, and 92% within the second year of regular fertility-focused sexual activity. It's used to remove polyps and fibroid tumors, divide scar tissue, and open up blocked tubes.