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Assisted conception The following methods are currently available for assisted conception. Bhaskar Dutta/Photoshare Clinical definitions Infertility is “a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse.”… (WHO-ICMART glossary1). “Infertility is the inability of a sexually active, non-contracepting couple to achieve pregnancy in one year.

The pulsatile nature of GnRH is essential to normal gonadotropin release; a continuous stimulation inhibits their secretion. Many cases are treated with medication or may require surgical procedures. New Concepts in Operative Andrology: A Review. (PDF, 7 MB) International Journal of Andrology, 2000. Some authorities believe that ovulation occurs 5 days after the last dose of CC.

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In the United States, around 10 percent of women aged 15 to 44 years are estimated to have difficulty conceiving or staying pregnant. Sperm can survive inside the female for up to 5 days, while an egg can be fertilized for up to 1 day after ovulation. Endometriosis: Cells that normally occur within the lining of the uterus start growing elsewhere in the body. Reversal of Vasectomy and the Treatment of Male Infertility. (PDF, 4 MB) Urologic Clinics of North America, 1981. For patients with a history of endometriosis, pelvic infections, or ectopic pregnancy, evaluation with hysteroscopy or laparoscopy is recommended.

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If a woman has cycles at intervals of greater than 35 days, it may indicate that she is not ovulating an egg predictably, or even at all. Its use is controversial in patients with a history of breast cancer. Antibodies can abnormally attack a man's own sperm on their way to the egg.

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Birth after Preimplantation Diagnosis of the Cystic Fibrosis F508 Mutation by Polymerase Chain Reaction in Human Embryos Resulting from Intracytoplasmic Sperm Injection with Epididymal Sperm. (PDF, 2 MB) The Journal of the American Medical Association, 1994. It is usually not the natural state of a healthy adult, except notably among certain eusocial species (mostly haplodiploid insects). When anatomic variance or obstruction is suspected, referral for surgical evaluation and treatment is appropriate. 29 When the semen analysis is abnormal, referral to a male fertility specialist or reproductive endocrinologist is warranted. If the sperm are of good quality and the mechanics of the woman's reproductive structures are good (patent fallopian tubes, no adhesions or scarring), a course of ovulation induction maybe used. The surgeon can remove implants and scar tissue, and this may reduce pain and aid fertility. The enzyme aromatase is responsible for this conversion, and is found primarily in adipose tissue. This averts normal ascension and motility of the sperm. Unexplained infertility[edit] In the US, up to 20% of infertile couples have unexplained infertility.[61] In these cases abnormalities are likely to be present but not detected by current methods.