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Secondary infertility When a woman is unable to bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth following either a previous pregnancy or a previous ability to carry a pregnancy to a live birth, she would be classified as having secondary infertility. Infertility service use in the United States: data from the National Survey of Family Growth, 1982–2010.

Veltman-Verhulst SM, Cohlen BJ, Hughes E, Heineman MJ. Some women have bilateral tubal occlusion, which is when both tubes are blocked. Gerrits T, Shaw M (2010). "Biomedical infertility care in sub-Saharan Africa: a social science review of current practices, experiences and view points". PDF Articles by Decade: 1970s | 1980s | 1990s | 2000s | 2010s ARTICLES FROM THE 1970s Active Lupus Glomerulitis and Hematoxylin Bodies with Normal Urinalysis. (PDF, 5 MB) The Journal of Urology, 1971.

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Functional sperm that are present may have a normal karyotype. Choose a single article, issue, or full-access subscription.

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Advances in assisted reproductive technologies, such as IVF, can offer hope to many couples where treatment is available, although barriers exist in terms of medical coverage and affordability. If an endocrinopathy, such as hyperprolactinemia, is diagnosed, the underlying cause should be treated.

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Risk factors for the formation of antisperm antibodies in men include the breakdown of the blood‑testis barrier, trauma and surgery, orchitis, varicocele, infections, prostatitis, testicular cancer, failure of immunosuppression and unprotected receptive anal or oral sex with men.[23][24] Sexually transmitted infections[edit] Infections with the following sexually transmitted pathogens have a negative effect on fertility: Chlamydia trachomatis and Neisseria gonorrhoeae. Postcoital testing and antisperm antibody testing are no longer considered useful in this evaluation. Intrauterine insemination. For this procedure, after semen gets rinsed with a special solution, a doctor places it into your uterus when you're ovulating. Sulfasalazine: This anti-inflammatory drug can significantly lower a man's sperm count. For patients wishing to conceive, the medical approach is not indicated, as it delays treatment for infertility. Therefore, this problem must be corrected first or concomitantly to obtain an ovulatory response. Most people will have the strong desire to conceive a child at some point during their lifetime. 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. Reproductive Biology. (PDF, 147 KB) The Scientist, 1996. Signs of Potential Infertility in Men Infertility symptoms in men can be vague.