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If necessary, they refer patients to a fertility clinic or local hospital for more specialized tests. Your physician will discuss these approaches to having a baby if appropriate to your particular case. The sperm is washed in a fluid and the best specimens are selected. Ideally, using strict morphology criteria, a minimum of 5 – 15% normal forms leads to a better ability for sperm to fertilize the egg. These are agents that support the follicular maturation and the secretion of gonadotropins.

The main reasons for fertility tourism are legal regulation of the sought procedure in the home country, or lower price. Although relatively uncommon, eating disorders can negatively affect menstruation, fertility, and maternal and fetal well-being. IVF was a major breakthrough because it allowed for successful pregnancies in women that were previous deemed permanently infertile, such as when the fallopian tubes are both markedly damaged. They may go unnoticed until a man tries to have a baby.

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Treatment of Endometriosis Endometriosis treatment may be divided according to the severity of the disease and patient needs. Blood, urine, and imaging tests can be done to discover why you are having trouble getting pregnant. Intra-uterine insemination for unexplained subfertility. The application of artificial insemination usually is made after previous medicamentous treatment. 41 Treatment of Unexplained Infertility Jump to section + Couples who have no identified cause of infertility should be counseled on timing of intercourse for the most fertile period (i.e., the six days preceding ovulation).

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3) Tubal occlusion (blockage): As discussed previously, a history of sexually transmitted infections including chlamydia, gonorrhea, or pelvic inflammatory disease can predispose a woman to having blocked fallopian tubes. Gonadotropin releasing hormone analogs (GnRH-a) are synthetic peptides whose structure is similar to the natural GnRH. First, ovarian stimulation takes place; therefore, the patient initially is pre-treated with GnRH-antagonists. Successful Pregnancy after Microsurgical Transplantation of an Intact Ovary. (PDF, 438 KB) The New England Journal of Medicine, 2008. A luteal phase defect results in low production of the hormone progesterone, which is necessary for maintaining a pregnancy. Not PPT Presentation Summary : Infertility Statistics.

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42 However, none of these methods has been proven to increase pregnancy rates when used to predict timing of intercourse. Furthermore, as aging occurs, egg quality, or the likelihood of an egg being genetically normal, decreases. A small incision is made in the abdomen, and a thin, flexible microscope with a light at the end, called a laparoscope, is inserted through it. The pregnancy rate fluctuates from 20-35%, and the expected ectopic pregnancy rate is as high as 20%. A couple should see a healthcare provider if they have not been able to become pregnant after 12 months of having sex regularly without birth control. In these methods, fertilization occurs inside the body. 2 or more - sperm concentration: 15 million spermatozoa per ml or more - total sperm number: 39 million spermatozoa per ejaculate or more - total motility: 40% or more motile or 32% or more with progressive motility - vitality: 58% or more live spermatozoa - sperm morphology (percentage of normal forms): 4% or more Basic Work-up for Infertility 13. Evidence of ovulation: 1.