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Further reading[edit] Fertility: Assessment and Treatment for People with Fertility Problems. It also tests for a luteal phase defect (inadequate level of progesterone). For women aged 35, about 94% who have regular unprotected sexual intercourse get pregnant after three years of trying.

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. 2) Ovulation disorders: Normal and regular ovulation, or release of a mature egg, is essential for women to conceive naturally. Vasectomy and its Microsurgical Reversal. (PDF, 17 MB) Urologic Clinics of North America, 1978. Mental stress: This may affect female ovulation and male sperm production and can lead to reduced sexual activity. Preliminary Tests of a New Reversible Male Contraceptive in Bush Dog, Speothos Venaticus: Open-ended Vasectomy and Microscopic Reversal. (PDF, 106 KB) Journal of Zoo and Wildlife, 2006. 34 Although intrauterine insemination has been shown to be equally effective as timed intercourse in unstimulated cycles, there is a modest increase in live birth rates when combined with ovarian stimulation.

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Alcohol: Any amount of alcohol consumption can affect the chances of conceiving. Sherman Silber: Be Fruitful and Multiply. (PDF, 6 MB) Lifestyles Magazine, 1999.

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Germ cells and white blood cells both appear as round cells on microscopic examination, so immunohistochemical stains are used to differentiate the 2 cell types. Refinements in the Methodology of Injection for Transvaginal Gamete Intra-Fallopian Transfer. (PDF, 2 MB) Human Reproduction, 1994. The Human Fertilization and Embryology Authority, HFEA website.Summary Infertility means not being able to become pregnant after a year of trying. Infectious, anatomic, metabolic, and functional problems associated with infertility are seen less frequently. (Also see Infertility.) The only confirmed infectious cause of infertility in the bitch is brucellosis (see Brucellosis in Dogs).

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Fertility awareness methods are used to discern when these changes occur by tracking changes in cervical mucus or basal body temperature. They are then processed and introduced to eggs by different methods. Surgical Management of Male Infertility. (PDF, 2 MB) Chapter 12 from textbook, Male Infertility, 1992. 6,23 Anovulatory women should have further investigation to determine treatable causes such as thyroid disorders or hyperprolactinemia based on symptoms. Because the sperm have a short life span outside the human body, the semen specimen must be evaluated within a short time frame. Illegal drugs: Some women who use marijuana or cocaine may have fertility problems. Evaluation of the uterus and fallopian tubes can be performed by hysterosalpingography in women with no risk of obstruction. Features include a webbed neck, short stature, low-set ears, ptosis, shield-like chest, lymphedema of hands and feet, cardiovascular abnormalities, and cubitus valgus. If a woman needs an HCG injection to activate ovulation and ultrasound scans show that too many follicles have developed, it is possible to withhold the HCG injection. Studies have shown that approximately 70% of miscarriages are due to chromosomal abnormalities.