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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. The Relationship of Abnormal Semen Parameters to Male Fertility. (PDF, 4 MB) Human Reproduction, 1989.

A causal therapeutic approach does not exist and an important component is the prevention of hyperstimulation syndrome. Ovulation disorders can be due to: Premature ovarian failure: The ovaries stop working before the age of 40 years. The eggs may never be released or they may only be released in some cycles.

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48 However, there is no firm evidence that preconception counseling leads to increased live birth rates, in part because no studies on this topic have been performed. Primary Lymphoma of Kidney. (PDF, 586 KB) The Journal of Urology, 1973.

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Additionally, transvaginal ultrasound affords the opportunity for your physician to assess the relative number of available eggs. Pregnancy with Sperm Aspiration from the Proximal Head of the Epididymis: A New Treatment for Congenital Absence of the Vas Deferens. (PDF, 2 MB) Fertility and Sterility, 1988. 7 million women reported impaired ability to get pregnant or carry a baby to term.

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If the egg does not travel, it can be harder to conceive naturally. Follicle-stimulating hormone (Gonal-F, Bravelle): This hormone is produced by the pituitary gland that controls estrogen production by the ovaries. Typical drugs are clomifene, cyclofenil, tamoxifen, and epimestrol among others. Polycystic ovary syndrome causes infrequent periods or a total absence of them and is the most common cause of anovulation (an absence of ovulation). Women older than 35 years or couples with known risk factors for infertility may warrant evaluation at six months. First-line therapy is the ultrasound-guided transvaginal puncture. Your physician will examine you carefully to determine if you have fibroids and if removal is necessary.