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Some women are infertile because their ovaries do not mature and release eggs. After fertilization, implantation may then take place in the uterus. Prior to Mühe, the only specialty performing laparoscopy on a widespread basis was gynecology, mostly for relatively short, simple procedures such as a diagnostic laparoscopy or tubal ligation. Usually no more than 1 – 2 embryos are transferred, and therefore additional embryos can be frozen, or cryopreserved, for future use; 3) embryo donation – a process where a fully developed embryo from another person in combination w/donor sperm, or couple who underwent IVF, are donated to another woman, the future intended mother, for transfer into her uterus; and 4) gestational surrogacy – a process where another woman will undergo an embryo transfer and carry the pregnancy for another person.

At the same time, the number of pregnancy losses and malformations in the foetus increase. Fertility treatment with donor eggs is usually done using IVF. Endometrial biopsy should be performed only in women with suspected pathology (chronic endometritis or neoplasia).

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Microsurgery of the Male Genitalia for Infertility. (PDF, 8 MB) Chapter 59 from Reconstructive Urologic Surgery, 1994. The laboratory evaluation begins with a semen analysis. Effects[edit] Psychological[edit] The consequences of infertility are manifold and can include societal repercussions and personal suffering. We generally recommend seeking the help of a reproductive endocrinologist if conception has not occurred within 12 months.

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Around one third of couples have difficulty conceiving due to a low sperm count. The Relationship of Abnormal Semen Parameters to Male Fertility. (PDF, 4 MB) Human Reproduction, 1989.

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Intracytoplasmic sperm injection[edit] ICSI technique is used in case of poor semen quality, low sperm count or failed fertilization attempts during prior IVF cycles. This can make it difficult for the embryo to implant. Most of the time, basic semen analysis is all that's needed to diagnose male infertility. Infertility and Impaired Fecundity in the United States, 1982-2010: Data from the National Survey of Family Growth.