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Unexplained fertility affects about 10 percent of couples worldwide. The fertilized egg moves down the fallopian tube towards the uterus.

If a semen analysis is found to be abnormal, generally it is first repeated to confirm the abnormality. Epididymal Surgery. (PDF, 8 MB) Chapter 8 from textbook, Infertility, 1992.

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However, many people have a regular cycle, meaning that the time between each period is roughly the same. Endometriosis causes infertility by producing inflammation and scarring, which can result in not only pain but also potentially detrimental effects on egg, sperm or embryo. Known male factor semen abnormalities: If a male partner has a history of infertility with a prior partner, or if there are abnormalities on his semen analysis, then we advise earlier fertility evaluation, ideally within 6 months of attempting pregnancy. The night before the procedure, the patient must take 2 tablespoons of sodium bicarbonate.

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Vasectomy and its Microsurgical Reversal. (PDF, 17 MB) Urologic Clinics of North America, 1978. Quantitative Evaluation of Spermatogenesis by Testicular Histology in Men with Congenital Absence of the Vas Deferens Undergoing Epididymal Sperm Aspiration. (PDF, 3 MB) Human Reproduction, 1990. Nonliquefication of the semen can be differentiated from benign hyperviscosity by a normal postcoital test finding. Choose a single article, issue, or full-access subscription. Temporal relationship and reliability of the clinical, hormonal, and ultrasonographic indices of ovulation in infertile women.

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0 mm flexible plastic tube is inserted into the uterine cavity through the cervix and a small piece of endometrial tissue is sampled using suction. The effects of age on fertility are moderate and do not begin to take an effect until the late 30s. FSH has a lower plasma concentration and longer half-life than LH, and it has less obvious pulsatile changes. They may benefit from referral to a physician comfortable with prescribing pulsatile administration of gonadotropin-releasing hormone or gonadotropins with luteinizing hormone activity to induce ovulation. Semen is the milky fluid that a man's penis releases during orgasm. Although tubal disease was the original indication for IVF, many more indications have developed over the years. Get Permissions Email Alerts Don't miss a single issue.