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Medicines and drugs Certain types of medicines can sometimes cause infertility problems. Mumps, leading to orchitis (testicular inflammation), may cause secondary testicular atrophy in the small number of men infected after puberty. Chemotherapy: Some types may significantly reduce sperm count.

Definition “A woman of reproductive age who has not conceived after 1 year of unprotected vaginal sexual intercourse, in the absence of any known cause of infertility” NICE guideline, CG156 Primary infertility; couple have failed to conceive before. Secondary infertility; woman has previously been pregnant regardless of the outcome of the pregnancy and now unable to conceive. Delayed conception and active and passive smoking. Therefore, pelvic ultrasonography is required before CC is initiated. [207] Pure FSH treatment for ovulation induction is another alternative for patients with PCOS who are clomiphene resistant. While chromosomal failure is usually caused by abnormalities of the sex chromosomes, autosomal disorders are also observed. 8 Evaluation of Men Jump to section + Causes of male infertility include infection, injury, toxin exposures, anatomic variances, chromosomal abnormalities, systemic diseases, and sperm antibodies. Epididymal Extravasation Following Vasectomy as a Cause for Failure of Vasectomy Reversal. (PDF, 22 MB)Fertility and Sterility, 1979.

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Understanding what defines normal fertility is crucial to helping a person, or couple, know when it is time to seek help. When anatomic variance or obstruction is suspected, referral for surgical evaluation and treatment is appropriate. You take gonadotropins that trigger the development of more than one egg. Practice Committee of American Society for Reproductive Medicine. In ZIFT, your doctor places the fertilized eggs -- at this stage called zygotes -- into your fallopian tubes within 24 hours.

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Careful monitoring during treatment and pregnancy can help reduce the risk of complications. However, a woman who does not ovulate at each menstrual cycle is not necessarily going through menopause. IVF/ICSI is a process by which the oocyte is fertilized by a sperm outside the body: in vitro, and then a gamete retransferred intrauterine. Hyperprolactinemia: If prolactin levels are high, and the woman is not pregnant or breastfeeding, it may affect ovulation and fertility.

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This abnormality is usually surgically corrected in infancy. Three types are described: A dark (Ad), A pale (Ap), and B cells. 8) Unexplained/other: Sometimes a full evaluation does not reveal the cause of infertility. The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. According to the Office on Women's Health, about a third of issues with infertility comes from women, and another third starts with men. HMG contains equal quantities of FSH and LH and are administered intramuscularly. Hyperandrogenemic ovarian insufficiency is characterized by an immoderate production of androgen. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics. Twelve months is the lower reference limit for Time to Pregnancy (TTP) by the World Health Organization.[7] a woman over 35 has not conceived after six months of contraceptive-free sexual intercourse. Testosterone is a key hormone for male fertility, so problems with the testes that produce this hormone may lead to infertility. The success of the procedure is related to the diameter of the hydrosalpinx and to the damage to the cilial epithelium. They include: Clomifene (Clomid, Serophene): This encourages ovulation in those who ovulate either irregularly or not at all, because of PCOS or another disorder.