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VITRIKAS, MD, David Grant Medical Center Family Medicine Residency, Travis Air Force Base, California Am Fam Physician. 2015 Mar 1;91(5):308-314.   Patient information: See related handout on infertility, written by the authors of this article.   Related letter: Natural Procreative Technology for Treating Infertility This clinical content conforms to AAFP criteria for continuing medical education (CME). If you’ve been diagnosed with infertility, or fear you may have trouble conceiving in the future, you’re not alone.

Microsurgical Epididymal Sperm Aspiration and Assisted Reproductive Techniques. (PDF, 4 MB) Frontiers in Human Reproduction, 1991. Additional information regarding infertility is available at . Therefore, data estimating the prevalence of infertility cited by various sources differs significantly.[8] A couple that tries unsuccessfully to have a child after a certain period of time (often a short period, but definitions vary) is sometimes said to be subfertile, meaning less fertile than a typical couple.

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Primary vs. secondary infertility[edit] Primary infertility is defined as the absence of a live birth for women who desire a child and have been in a union for at least 12 months, during which they have not used any contraceptives.[14] The World Health Organisation also adds that 'women whose pregnancy spontaneously miscarries, or whose pregnancy results in a still born child, without ever having had a live birth would present with primarily infertility'.[15] Secondary infertility is defined as the absence of a live birth for women who desire a child and have been in a union for at least 12 months since their last live birth, during which they did not use any contraceptives.[15] Thus the distinguishing feature is whether or not the couple have ever had a pregnancy which led to a live birth. The most commonly prescribed pill to stimulate ovulation (generally of one mature egg) is clomiphene citrate.

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Surgical procedures for women If the fallopian tubes are blocked or scarred, surgical repair may make it easier for eggs to pass through. It is more successful in women who have previously been pregnant. For patients wishing to conceive, the medical approach is not indicated, as it delays treatment for infertility. Laparoscopic techniques have also been developed in the field of veterinary medicine.

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Medical conditions Some medical conditions can affect fertility. The cause of sterility can also be found in the tubes. Patients may achieve normal virilization and adult phenotype by the administration of exogenous testosterone, but they are infertile. 1,2 However, if your partner is 35 years old or over, you or your partner may be considered infertile if you haven’t conceived after 6 months of unprotected sex. Fibrosis of the oviducts or uterine horns, probably a result of inflammation after infection or trauma, leads to infertility. Tourism[edit] Fertility tourism is the practice of traveling to another country for fertility treatments.[68] It may be regarded as a form of medical tourism. In women, both smoking and alcohol use are associated with lower rates of conception and increased rates of spontaneous abortion. On the seventh day, E2 measurement and ultrasonography are performed. Women receiving fertility treatment have a slightly higher risk of an ectopic pregnancy.