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Today, assisted reproductive techniques (ARTs) offer powerful new options. Luciano AA, Peluso J, Koch EI, Maier D, Kuslis S, Davison E. Couples may decide to go ahead regardless if the desire to become pregnant is very strong. Around one third of couples have difficulty conceiving due to a low sperm count. Legal, cultural and religious inquiries have limited the available choices in some countries, such as the use of donor sperms or oocytes.

It makes the pituitary gland release more follicle-stimulating hormone (FSH) and luteinizing hormone (LH). If the woman is aged over 35 years, the couple may wish to see a doctor earlier, because fertility testing can take time, and female fertility starts to drop when a woman is in her 30s. Epidemiological definition of infertility (for monitoring and surveillance) Women of reproductive age (15–49 years) at risk of becoming pregnant (not pregnant, sexually active, not using contraception and not lactating) who report trying unsuccessfully for a pregnancy for two years or more. (Reproductive Health Indicators) Infertility as a disability Disability: Infertility generates disability (an impairment of function), and thus access to health care falls under the Convention on the Rights of Persons with Disability. Similarly, there is no need for testing tubal patency for couples who will require IVF or ICSI procedure. ART: Intracytoplasmic Sperm Injection (ICSI) Another ART procedure  Intracytoplasmic Sperm Injection (ICSI)  involves the injection of a single sperm into the egg. The gonadotropins in these formulations are FSH, and in some cases, a combination of FSH and LH (luteinizing hormone).

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The fertilized embryo is then transferred to womb. Infertility may be caused by blockage of the Fallopian tube due to malformations, infections such as chlamydia or scar tissue.

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If the woman reaches the age of 40 during treatment, complete the current full cycle but do not offer further full cycles. In women aged 40–42 years who have not conceived after 2 years of regular unprotected intercourse or 12 cycles of artificial insemination (where 6 or more are by intrauterine insemination), offer 1 full cycle of IVF, with or without ICSI. The vas deferens carries sperm from the epididymis to the ejaculatory duct and the urethra. Eating disorders: If an eating disorder leads to serious weight loss, fertility problems may arise. Erectile dysfunction Hormonal changes, psychological factors, or physical issues may make it difficult to get or keep an erection. Possible causes include the egg not being released at the right time, the egg’s inability to reach the fallopian tube, or the sperm’s inability to reach the egg. 549 KB Effect of Age on Male Fertility. (PDF, 5 MB) Chapter from textbook, Seminars in Reproductive Endocrinology, 1991.

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Sperm retrieval for azoospermia and intracytoplasmic sperm injection success rates – A personal overview. (PDF, 1 MB) Human Fertility, 2010. Endometrial polyps Endometrial polyps are growths found in the uterine cavity. Religious leaders' opinions on fertility treatments; for example, the Roman Catholic Church views infertility as a calling to adopt or to use natural treatments (medication, surgery, or cycle charting) and members must reject assisted reproductive technologies. These high-tech and expensive male infertility treatments give sperm an artificial boost to get into an egg. However, future pregnancy is possible with the other ovary and tube. However, nowadays, spermatozoa can be extracted by means of a testicular puncture. This may take the form of miscarriages or extrauterine pregnancies. High-cost treatments are out of financial reach for some couples.