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Fibroids should be treated if they are associated with abnormal uterine bleeding or if they are thought to be the cause of infertility. Couples will have to consider the ethical and emotional aspects of this procedure. Cortical deficiency may be seen in patients with adrenal failure due to infection, infarction, or congenital adrenal hyperplasia (CAH).

In most cases, surgery can be performed to either reverse these blockage or to retrieve sperm directly from the epididymis and testicles. Ectopic pregnancy This is when a fertilized egg implants outside the womb, usually in a fallopian tube.

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The doctor may ask about the couple's sexual habits and make recommendations regarding these. Microsurgical Aspects of Varicocele. (PDF, 9 MB) Fertility and Sterility, 1979. These numbers are comparable to those of other industrialized nations.

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London, United Kingdom: National Institute for Health and Clinical Excellence (NICE); February 2013:1–63. (Clinical guideline no. Suspect antisperm antibodies when semen analysis reveals abnormal clumping, agglutination, unexplained decreased motility, or an abnormal postcoital test result. Based on numerous prospective randomized controlled trials, the approach has proven to be beneficial in reducing post-operative morbidities such as wound infections and incisional hernias (especially in morbidly obese patients), and is now deemed safe when applied to surgery for cancers such as cancer of colon.[6][7] Laparoscopic instruments. Renal Transplantation Between Adults and Children. (PDF, 1 MB) Journal of the American Medical Association, 1974. Fresh Ovarian Tissue and Whole Ovary Transplantation. (PDF, 373 KB) Seminars in Reproductive Medicine, 2009. If you’re having trouble conceiving, you are certainly not alone.

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These questions will be regarding your medical, surgical, gynecological, and obstetric history, as well as some lifestyle questions. The more fetuses there are, the higher the risk of premature labor. Artificial Insemination In this process, male sperm is introduced into the female genital tract in order to achieve fertilization. Once the follicles (fluid filled sacs containing the eggs) reach a mature size, an HCG injection is administered which leads to final development and maturation of the eggs. Intracytoplasmic Sperm Injection. (PDF, 4 MB) Chapter 47 from textbook Current Therapy in Equine Reproduction, 2006. Female and male factors are equally responsible for infertility, about 30% to 40% each, and in 20% of the cases, there is a combination of both. Blood tests Depending on the individual couple's situation, various blood tests on either the female or the male may be needed. This procedure is performed in the outpatient setting. Women attempting pregnancy at age 40 or older have a 50% decreased fertility rate and a two-fold to three-fold increased risk of spontaneous abortion compared with younger women. World Health Organization reference values for human semen characteristics.