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In ovarian hyperstimulation combined with IUI, women aged 38–39 years appear to have reasonable success during the first two cycles, with an overall live birth rate of 6.1% per cycle. [12] However, for women aged ≥40 years, the overall live birth rate is 2.0% per cycle, and there appears to be no benefit after a single cycle of COH/IUI. [12]
In unexplained infertility abnormalities are likely to be present but not detected by current methods. 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.
The average user reports 16 days of bleeding or spotting in the first month of use, but this diminishes to about four days at 12 months. [51] [52] Cramping and pain: many women feel discomfort or pain during and immediately after insertion. Some women may have cramping for the first 1–2 weeks after insertion. [53]
11. Endometriosis Pain after sex is one of the most common signs of endometriosis, a disease where tissue that grows on the uterus lining starts growing on areas outside of the uterus.
In vitro fertilisation (IVF) is a process of fertilisation in which an egg is combined with sperm in vitro ("in glass"). The process involves monitoring and stimulating a woman's ovulatory process, then removing an ovum or ova (egg or eggs) from her ovaries and enabling a man's sperm to fertilise them in a culture medium in a laboratory.
It is also a normal state in women after menopause. In humans, infertility is the inability to become pregnant after at least one year of unprotected and regular sexual intercourse involving a male and female partner. [2] There are many causes of infertility, including some that medical intervention can treat. [3]
Ovulation is triggered by a spike in the amount of FSH and LH released from the pituitary gland. During the luteal (post-ovulatory) phase, the secondary oocyte will travel through the fallopian tubes toward the uterus. If fertilized by a sperm, the fertilized secondary oocyte or ovum may implant there 6–12 days later. [11]
Endometriosis often presents with a very diverse array of symptoms, such as dysmenorrhea (pain during menstruation), cyclical pelvic pain (generalized pain in the lower abdomen that predictably worsens with menstruation), dyspareunia (pain during intercourse), or infertility (inability to achieve a pregnancy with unprotected intercourse for > 1 year).
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