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The chance of a live birth following treatment is nearly 50% [25]. Microsurgical Reversal of Tubal Sterilization: Factors Affecting Pregnancy Rate, with Long-term Follow-up. (PDF, 2 MB) Obstetrics & Gynecology, 1984. Vasectomy Reversal. (PDF, 733 KB) The New England Journal of Medicine, 1977.

It may also prevent the sperm from reaching the egg. Possible reasons for abnormal semen include: a lack of sperm – you may have a very low sperm count or no sperm at all sperm that aren't moving properly – this will make it harder for sperm to swim to the egg abnormal sperm – sperm can sometimes be an abnormal shape, making it harder for them to move and fertilise an egg Many cases of abnormal semen are unexplained. It is increasingly recognized that egg quality is of critical importance and women of advanced maternal age have eggs of reduced capacity for normal and successful fertilization.

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Products include enzymes and proteases to liquefy the seminal coagulum. Idiopathic Hypercalciuria. (PDF, 1 MB) New England Journal of Medicine, 1971. The fertilized egg is then implanted in the uterus. Therefore, pelvic ultrasonography is required before CC is initiated. [207] Pure FSH treatment for ovulation induction is another alternative for patients with PCOS who are clomiphene resistant. Men who are underweight tend to have lower sperm concentrations than those who are at a normal BMI. 38,39 Family physicians may choose to attempt ovulation induction in anovulatory women (WHO group II) with clomiphene.

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37,38 The addition of 1,500 to 1,700 mg of metformin (Glucophage) daily may increase ovulation and pregnancy rates, but it does not significantly improve live birth rates over clomiphene alone. Laparoscopy: A thin, flexible tube with a camera at the end is inserted into the abdomen and pelvis, allowing a doctor to look at the fallopian tubes, uterus, and ovaries. If conservative medical treatments fail to achieve a full term pregnancy, the physician or WHNP may suggest the patient undergo in vitro fertilization (IVF). The AZFc Region of the Y Chromosome Features Massive Palindromes and Uniform Recurrent Deletions in Infertile Men. (PDF, 5 MB) Nature Genetics, 2001. Changes in testicles Healthy testicles are an important aspect of male fertility.

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The ordered sequence of release is important for appropriate functioning. 16. Investigation of suspected tubal and uterine abnormalities: 1. First-line therapy is the ultrasound-guided transvaginal puncture. Temporal relationship and reliability of the clinical, hormonal, and ultrasonographic indices of ovulation in infertile women. For women over age 35, that timeline is reduced to six months. Microsurgical Aspects of Varicocele. (PDF, 9 MB) Fertility and Sterility, 1979. 8,46 Obesity impairs fertility and the response to fertility treatments, including in vitro fertilization; therefore, it is advisable to counsel patients who are obese to lose weight before conception or infertility treatments. Government, the Department of Defense, or the Department of the Air Force.