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First-line therapy is the ultrasound-guided transvaginal puncture. Not PPT Presentation Summary : Infertility Statistics. Microscopic Vasectomy Reversal 30 Years Later: A Summary of 4010 Cases by the Same Surgeon. (PDF, 295 KB)Journal of Andrology, 2004.

Testis Biopsy and the Infertile Male. (PDF, 20 MB) Chapter 15 from textbook Office Andrology, 2005. In 1978, the first baby was born as a result of IVF. The incidence rate of ectopic pregnancy after surgery is in the range of 5%.

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Infrequent and light menstruation occurs in about 40% of women with ovulatory dysfunction. It does not induce ovulation, but reduces the production of prolactin by the pituitary.[20] Bromocriptine is only prescribed in cases of overproduction of prolactin (hyperprolactinemia). Painful or heavy periods Most women experience cramps with their periods. Allocation of medical resources that could be used elsewhere The legal status of embryos fertilized in vitro and not transferred in vivo. (See also beginning of pregnancy controversy). Algorithm for infertility evaluation. (ART = assisted reproductive technology.) Lifestyle Factors Jump to section + All couples should be counseled to abstain from tobacco use, limit alcohol consumption, and aim for a body mass index less than 30 kg per m2 to improve their chances of natural conception or using assisted reproductive technology. It is a new opportunity, not only for partners with lack of gamets, but also for homosexuals and single people who wants to have offspring.

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Many countries have special frameworks for dealing with the ethical and social issues around fertility treatment. Sterilisation involves blocking the fallopian tubes to make it impossible for an egg to travel to the womb. GIFT (gamete intrafallopian tube transfer) and ZIFT (zygote intrafallopian transfer).  Like IVF, these procedures involve retrieving an egg, combining it with sperm in a lab, and then transferring it back to your body. 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.

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The resulting embryos are then transferred into the uterus of the future mother, known as the recipient. An estimated 34 million women, predominantly from developing countries, have infertility which resulted from maternal sepsis and unsafe abortion (long term maternal morbidity resulting in a disability). Ovarian hyperstimulation syndrome The ovaries can swell, leak excess fluid into the body, and produce too many follicles, the small fluid sacs in which an egg develops. In general, infertility is defined as the inability of couples to achieve pregnancy after ≥1 year of trying (1). The menopause is premature when it occurs before 40 years of age.