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44 Therefore, a simple recommendation is for vaginal intercourse every two to three days to optimize the chance of pregnancy. Hysteroscopy can also be combined with laparoscopy when necessary. These abnormalities can also cause irregular bleeding between menstrual cycles. They can interfere with implantation or block the fallopian tube, preventing sperm from fertilizing the egg.

Usually, you’ll still be able to maintain erections and have sex, and the quantity and appearance of your semen will also be normal. Laparoscopic and thoracoscopic surgery belong to the broader field of endoscopy. In addition, her reproductive tract must allow the eggs and sperm to pass into her fallopian tubes to become fertilized and implanted in the uterus. Chronic anovulation is a common cause of infertility.

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Existing definitions of infertility lack uniformity, rendering comparisons in prevalence between countries or over time problematic. Etiologies include cysts (midline and eccentric), ductal calcification and stones, postinfectious, and postoperative. Cervical factors are also thought to play a minor role, although they are rarely the sole cause.

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A cumulative pregnancy rate of 80% is achieved during the first 6 cycles of therapeutic insemination. A uterus capable of developing and sustaining the conceptus to maturity.

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The following is a list of hormonal disorders which can disrupt male infertility: Hyperprolactinemia: Elevated prolactin--a hormone associated with nursing mothers, is found in 10 to 40 percent of infertile males.  Mild elevation of prolactin levels produces no symptoms, but greater elevations of the hormone reduces sperm production, reduces libido and may cause impotence.  This condition responds well to the drug Parlodel (bromocriptine). The sediment is suspended in a buffer solution, and the recovered sperm is processed using the sperm-wash technique before it can be used for intrauterine insemination. Perfect Anatomical Reconstruction of Vas Deferens with a new Microscopic Surgical Technique. (PDF, 19 MB)Fertility and Sterility, 1977. The rising number of obese individuals may be due in part to an energy-rich diet as well as insufficient physical exercise.  In addition to other potential health risks, obesity can have a significant impact on male and female fertility. Treatment is with exogenous gonadotropins and iron-chelating therapy. Depending on the therapeutic agent and the duration of treatment, endometriosis can be treated with oral contraceptives, progestins, androgens, or GnRH agonists. WHAT'S THE DIFFERENCE BETWEEN PRIMARY AND SECONDARY INFERTILITY? Effects[edit] Psychological[edit] The consequences of infertility are manifold and can include societal repercussions and personal suffering. Endometrial biopsy should be performed only in women with suspected pathology (chronic endometritis or neoplasia). Usually no more than 1 – 2 embryos are transferred, and therefore additional embryos can be frozen, or cryopreserved, for future use; 3) embryo donation – a process where a fully developed embryo from another person in combination w/donor sperm, or couple who underwent IVF, are donated to another woman, the future intended mother, for transfer into her uterus; and 4) gestational surrogacy – a process where another woman will undergo an embryo transfer and carry the pregnancy for another person. A woman comes to your consultation-hour and you diagnose an ovarian hyperstimulation syndrome. It also tests for a luteal phase defect (inadequate level of progesterone).