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40. Luteal phase support: - Should be offer luteal phase support with progesterone till 8 weeks of gestation. - Different form of progesterone with different routes of administration are available, RCT are taking place comparing efficacy of different forms. Generally, success rates lie between 40% and 60% per cycle. One third of the time, it is a problem with the woman. Intercourse 2 or 3 times per week may be considered average, although the frequency varies. Factors effecting normal expectancy of conception. Outcome of Intracytoplasmic Sperm Injection with Testicular Spermatozoa in Obstructive and Non-obstructive Azoospermia. (PDF, 426 KB) Human Reproduction, 1996.

Graft-versus-host Reactivity and Renal Allograft Survival in Rats Given Allogeneic Spleen Cells or Spleen Allografts.(PDF, 2 MB) Transplantation, 1976. After in vitro fertilization, your doctor transfers the fertilized eggs into your uterus.Continued Hysteroscopy . In this procedure, your doctor places a hysteroscope into your uterus through your cervix. Sherman Silber: Be Fruitful and Multiply. (PDF, 6 MB) Lifestyles Magazine, 1999.

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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. WHO categorizes ovulatory disorders into three groups: group I is caused by hypothalamic pituitary failure (10%), group II results from dysfunction of hypothalamic-pituitary-ovarian axis (85%), and group III is caused by ovarian failure (5%).

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There are tests that may tell if you have fertility problems. Meticulous hemostasis is imperative. [131, 132, 133] Operative laparoscopy was reintroduced into the surgical armamentarium in the 1950s; however, in the 1970s, Semm developed different procedures and operative instruments that currently allow for the outpatient laparoscopic surgical treatment of multiple tuboperitoneal pathologies, [91] electrocautery, endocoagulation, lasers, and ultrasonography scalpels facilitate the performance of operations that otherwise used to require a laparotomy. About a third of the time, infertility can be traced to the woman.

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Some causes, such as hyperprolactinemia, are reversible with proper treatment. Egg donation. This can help you if you have ovaries that don't work right but you have a normal uterus. Several studies have reported different causes of infertility [7-9]. Fertility Evaluation: Obstetric and Gynecological History The obstetric and gynecological history should include: Reproductive history (children, mode of delivery, prematurity, stillbirth, extrauterine pregnancy, spontaneous and induced abortion, fertility and infertility in earlier relationships). Sometimes there may be simple ways to make lifestyle adjustments to improve fertility, while other underlying causes may require treatment. Obstructions in the sperm transport plumbing can sometimes be surgically corrected. Intracytoplasmatic Sperm Injection (ICSI) An intracytoplasmatic sperm injection is also a form of artificial insemination.