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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 chance of a multiple birth is lower with an oral fertility drug.

8,45 Figure 1 provides an algorithmic approach to the evaluation of infertility.   Enlarge      Print Infertility Evaluation Figure 1. A mouse study has suggested that ingredients in some household detergents may reduce fertility. Serum LH determination is more precise, especially when performed in combination with pelvic ultrasonography. These injections are taken nightly, typically for 5 – 10 days, and act directly on the cells of the ovary to stimulate egg development.

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Idiopathic Hypercalciuria. (PDF, 1 MB) New England Journal of Medicine, 1971. This abnormality is usually surgically corrected in infancy.

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Women in group II include those with polycystic ovary syndrome and hyperprolactinemia. Source : Infertility and its Treatments - PPT Presentation Summary : Infertility and Its Treatments. However there is a minimal increased risk of de-novo chromosomal abnormalities in ICSI born babies [46,47] that necessitate counselling of the concerned couples.Table of contents Causes in men Causes in women Treatment Types Diagnosis Complications Outlook It may be that one partner cannot contribute to conception, or that a woman is unable to carry a pregnancy to full term. Microscopic Vasoepididymostomy: Specific Microanastomosis to the Epididymal Tubule. (PDF, 15 MB) Fertility and Sterility, 1978.

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Microsurgery of the Male Genitalia for Infertility. (PDF, 8 MB) Chapter 59 from Reconstructive Urologic Surgery, 1994. Find an IVF Doctor  |  Free IVF Class  | Class Testimonials 5) Third party reproduction: This is a general reference to a general process where another person provides sperm or eggs, or where another woman acts as a gestational surrogate, with the purpose of helping another person or couple have a child. Several studies have reported different causes of infertility [7-9]. In these methods, fertilization occurs inside the body. Showell MG, Brown J, Yazdani A, Stankiewicz MT, Hart RJ. Traumatic Renal Hemorrhage Treatment by Arterial Embolization. (PDF, 3 MB) The Journal of Urology, 1973. Sperm are then collected, washed, and added to the eggs in the dish. Low weight: Obesity is not the only way in which weight can impact fertility. The predictable pregnancy rate for this group is about 5% after timed intercourse, 10% after superovulation with intrauterine insemination (IUI), and 15% to 25% after assisted reproduction techniques (ART) [41]. The follicles are suctioned and microscopically examined afterward. The night before the procedure, the patient must take 2 tablespoons of sodium bicarbonate. In addition to a careful history, a physical evaluation may also be performed. Effect of male age on fertility: evidence for the decline in male fertility with increasing age. Get Permissions Email Alerts Don't miss a single issue.