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Possible problems could be that the egg is not released at the optimum time for fertilization, that it may not enter the fallopian tube, sperm may not be able to reach the egg, fertilization may fail to occur, transport of the zygote may be disturbed, or implantation fails. The results of these tests help determine the best fertility treatment.

Sermondade N, Faure C, Fezeu L, Lévy R, Czernichow S; Obesity-Fertility Collaborative Group. A history and physical examination can help direct the evaluation. They are very common (approximately 40% of women have them them). Poor egg quality: Eggs that are damaged or develop genetic abnormalities cannot sustain a pregnancy. 0 mm flexible plastic tube is inserted into the uterine cavity through the cervix and a small piece of endometrial tissue is sampled using suction.

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Reducing the risk of multiple pregnancies Injectable fertility drugs can sometimes result in multiple births, for example, twins or triplets. However, these tests have only poor to moderate predictive value despite widespread use.

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Defects of tubules that transport sperm There are many different tubes that carry sperm. A defect in any of these sperm structures may result in infertility that will not be detected by semen analysis.[60] Antisperm antibodies cause immune infertility.[23][24] Cystic fibrosis can lead to infertility in men. IVF and other fertility treatments have resulted in an increase in multiple births, provoking ethical analysis because of the link between multiple pregnancies, premature birth, and a host of health problems. The main approach to correcting or removing these uterine abnormalities is by hysteroscopy, a surgical method by which a narrow scope with a camera is placed within the uterine cavity. Not long after, the United States delivered its first IVF baby, and the use of IVF has grown dramatically.

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Sperm are nourished by semen, which is made by glands along the way. 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. The fertilized embryo is then transferred to womb. Normal Intrauterine Pregnancy After Reversal of Tubal Sterilization in the Wife and Vasectomy in the Husband.(PDF, 1 MB) Fertility and Sterility, 1978. This process has revolutionized assisted reproductive technology and the way reproductive endocrinologists can help people in having a baby. Practice Committee of American Society for Reproductive Medicine. Gonadotropin releasing hormone analogs (GnRH-a) are synthetic peptides whose structure is similar to the natural GnRH.