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Bushnik T, Cook JL, Yuzpe AA, Tough S, Collins J. Article Sections Infertility is defined as the inability to achieve pregnancy after one year of regular, unprotected intercourse. Between 45 and 50 percent of cases are thought to stem from factors that affect the man. Evaluating the Infertile Male – Part 1. (PDF, 5 MB) Contemporary OB/GYN, 2004.

Coutifaris C, Myers ER, Guzick DS, et al.; NICHD National Cooperative Reproductive Medicine Network. Cervical surgery can sometimes cause scarring or shortening of the cervix.

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In addition, her reproductive tract must allow the eggs and sperm to pass into her fallopian tubes to become fertilized and implanted in the uterus. Contents Definition[edit] "Demographers tend to define infertility as childlessness in a population of women of reproductive age," whereas "the epidemiological definition refers to "trying for" or "time to" a pregnancy, generally in a population of women exposed to" a probability of conception.[8] Currently, female fertility normally peaks at age 24 and diminishes after 30, with pregnancy occurring rarely after age 50.[9] A female is most fertile within 24 hours of ovulation.[9] Male fertility peaks usually at age 25 and declines after age 40.[9] The time needed to pass (during which the couple tries to conceive) for that couple to be diagnosed with infertility differs between different jurisdictions. Pregnancy Caused by Sperm from Vasa Efferentia. (PDF, 1 MB) Fertility and Sterility, 1988. Programming of Ovarian Stimulation with Norethindrone Acetate in IVF/GIFT Cycles. (PDF, 2 MB) Human Reproduction, 1989. Environmental vs Genetic Sex Determination: A Possible Factor in Dinosaur Extinction? (PDF, 307 KB) Fertility and Sterility, 2004.

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Previous sterilization treatment: In women who have chosen to have their fallopian tubes blocked, the process can be reversed, but the chances of becoming fertile again are not high. Infertility in women was ranked the 5th highest serious global disability5&6 (among populations under the age of 60). 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. Some facts about conception and fertility A doctor can give advice and carry out some preliminary assessments. Calcification of the Seminal Vesicles and Vas Deferens in a Uremic Patient. (PDF, 3 MB) The Journal of Urology, 1971.

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Unfortunately, some men have to cope with the reality that nothing can be done about their infertility. Furthermore, laparoscopy assists in the differential diagnosis between a septate and a bicornuate uterus. Surgical management: - Surgical correction of epididymal block in obstructive azoospermia. - No evidence for surgical treatment of varicocele in infertility. (remains an area of debate) 3. Medications Testosterone replacement therapy, long-term anabolic steroid use, cancer medications (chemotherapy), certain antifungal medications, some ulcer drugs and certain other medications can impair sperm production and decrease male fertility. As a result, infertility has come to be defined as the inability to conceive within 12 months. Fertility Evaluation of the Female Partner: Evidence of Ovulation There are a variety of tests to check if and when the woman is ovulating. The 2 techniques are the Strassman metroplasty and the Jones metroplasty. It involves removing eggs from the ovary of a donor who has taken fertility drugs. 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). On Regenerating the Ovary and Generating Controversy. (PDF, 37 KB) Cell, 2005. The predictive value of hysterosalpingography for tubal and peritoneal infertility factors.