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That is why a continuous sonographic control and also lab-medical controls are made. The incidence rate of ectopic pregnancy after surgery is in the range of 5%. The fertilized egg moves down the fallopian tube towards the uterus.

This process has revolutionized assisted reproductive technology and the way reproductive endocrinologists can help people in having a baby. 8 Patients should be counseled that 50% of couples who have not conceived in the first year of trying will conceive in the second year.

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The medicalization of infertility has unwittingly led to a disregard for the emotional responses that couples experience, which include distress, loss of control, stigmatization, and a disruption in the developmental trajectory of adulthood.[16] Infertility may have psychological effects. Key to the diagnosis of male infertility is a semen analysis, which assesses primarily sperm numbers, sperm movement and sperm form. The initial result of the procedure is not detected before 3 months because spermatogenesis takes 72 days.

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Often, but not always, submucosal fibroids can cause heavy periods, or bleeding between periods. If natural selection is the primary error correction mechanism that prevents random mutations on the Y chromosome, then fertility treatments for men with abnormal sperm (in particular ICSI) only defer the underlying problem to the next male generation. Further investigations may be requested according to the clinical presentation and the results of preliminary tests. BMI (body mass index) may be a significant factor in fertility, as an increase in BMI in the male by as little as three units can be associated with infertility.

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30–32 Other treatment options include antiestrogens and gonadotropin therapy, which showed a trend toward increased live birth rates in a Cochrane review. Histological dating of timed endometrial biopsy tissue is not related to fertility status. The chromosomal pattern of the resultant embryos can be assessed with preimplantation genetic diagnosis. 8 Couples with unexplained infertility may want to consider another year of intercourse before moving to more costly and invasive therapies, such as assisted reproductive technology. Ovarian Transplantation between Monozygotic Twins Discordant for Premature Ovarian Failure. (PDF, 315 KB) The New England Journal of Medicine, 2005. Ejaculatory Duct Obstruction. (PDF, 3 MB) The Journal of Urology, 1980. Illegal drugs: Consumption of marijuana and cocaine can lower the sperm count. This leads to the final maturation and release of the egg.


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