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Once the fluid containing the eggs is removed from the follicles into the vials, they are handed to the embryologist who finds the eggs, places them in tiny droplets on a Petri dish, and then fertilizes the eggs using their partner’s or donor sperm. The ovulation induction agents used include clomiphene citrate, hMG, hCG, recombinant FSH, and recombinant LH.

The corollary to this is that, by definition, failure to conceive in women under 35 isn't regarded with the same urgency as it is in those over 35. Reversal of Vasectomy and the Treatment of Male Infertility. (PDF, 4 MB) Journal of Andrology, 1980. Paternal age > or = 40 years: an important risk factor for infertility. Options for Male Infertility Treatment Some causes of male infertility are treatable or correctable through surgery. Microscopic Vasovasostomy and Spermatogenesis. (PDF, 1 MB) The Journal of Urology, 1977. 6 Women with risk factors for tubal obstruction, such as endometriosis, previous pelvic infections, or ectopic pregnancy, should instead be offered hysteroscopy or laparoscopy with dye to assess for other pelvic pathology.

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Endometriosis can only be confirmed by surgery, usually laparoscopy. 34 Although intrauterine insemination has been shown to be equally effective as timed intercourse in unstimulated cycles, there is a modest increase in live birth rates when combined with ovarian stimulation. IVF/ICSI Oocyte retrieval: - ultrasound-guided oocyte retrieval. Fertilization and incubation. Embryo-transfer. - SET or DET. Ovarian Transplantation between Monozygotic Twins Discordant for Premature Ovarian Failure. (PDF, 315 KB) The New England Journal of Medicine, 2005.

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Medications, treatments, and drugs Some drugs can affect fertility in a woman. Diagnostic evaluation of the infertile female: a committee opinion. But if you haven’t had a period in months, it’s time to get your fertility checked.

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Sometimes there may be simple ways to make lifestyle adjustments to improve fertility, while other underlying causes may require treatment. Here, the hormones FSH (= follicle stimulating hormone) and LH (= luteinizing hormone) play an important role. One third of the time, it is a problem with the woman. Diagnosis is based on history, physical examination, biochemical evaluation, ultrasonography, and laparotomy. 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. For example, polycystic ovarian syndrome is when the eggs only partially developed within the ovary and there is an excess of male hormones. Pelvic ultrasonography can be used once a week until the dominant follicle is detected; once this occurs, ultrasonography can be used more frequently until ovulation occurs. Close Testing for Women Women should track their ovulation by recording their basal body temperature for several months, checking their cervical mucus using a home ovulation test kit. Many health conditions can make it hard to get pregnant. Primary infertility is when a couple has not conceived after trying for at least 12 months without using birth control Secondary infertility is when they have previously conceived but are no longer able to. Unfortunately, there are some forms of male infertility that are not treatable. A vasectomy can be reversed, but reversals aren't usually successful.