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If a woman has cycles at intervals of greater than 35 days, it may indicate that she is not ovulating an egg predictably, or even at all. Between 45 and 50 percent of cases are thought to stem from factors that affect the man. However, future pregnancy is possible with the other ovary and tube. Use of clomiphene citrate in infertile women: a committee opinion. 17 Evaluation of male infertility starts with a history and physical examination focusing on previous fertility, pelvic or inguinal surgeries, systemic diseases, and exposures.
Microsurgery for Vasectomy Reversal and Vasoepididymostomy. (PDF, 13 MB) Urology, 1984. Between 45 and 50 percent of cases are thought to stem from factors that affect the man. These may be purchased over the counter and allow couples to predict the most fertile days in the cycle. Oligospermia is the most frequent cause of male infertility. Disorders of sexual differentiation result in infertility (eg, hermaphroditism, pseudohermaphroditism). 0.[44] Environmental factors Toxins such as glues, volatile organic solvents or silicones, physical agents, chemical dusts, and pesticides.[45][46] Tobacco smokers are 60% more likely to be infertile than non-smokers.[47] German scientists have reported that a virus called adeno-associated virus might have a role in male infertility,[48] though it is otherwise not harmful.[49] Other diseases such as chlamydia, and gonorrhea can also cause infertility, due to internal scarring (fallopian tube obstruction).[50][51][52] Alimentary habits[53] Obesity: The obesity epidemic has recently become is a serious issue, particularly in industrialized nations.
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Syndromes such as Klinefelter’s syndrome, cystic fibrosis, Kallmann’s syndrome, and Kartagener’s syndrome. In some couples who have been unable to reproduce, tests fail to find the cause of infertility. The Disappearing Y Chromosome – “I Told You So!” (PDF, 266 KB) Human Reproduction, 1997. Programming of Ovarian Stimulation with Norethindrone Acetate in IVF/GIFT Cycles. (PDF, 2 MB) Human Reproduction, 1989.
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The patient should be prescribed high-dose estradiol (5 mg qd for 21 d) followed by medroxyprogesterone (10 mg for 10 d). Diagnosis of Sterility An important part of the diagnosis is a detailed anamnesis and the routine gynecologic examination. London, United Kingdom: National Institute for Health and Clinical Excellence (NICE); February 2013:1–63. (Clinical guideline no. Treatment is with human menopausal gonadotropin (HMG) or exogenous FSH. The dynamics of stress in fertile and infertile couples.
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This prevents the sperm from fertilizing the egg. Malformation of the eggs themselves may complicate conception. Demographic definitions of infertility An inability of those of reproductive age (15-49 years) to become or remain pregnant within five years of exposure to pregnancy. (DHS2) An inability to become pregnant with a live birth, within five years of exposure based upon a consistent union status, lack of contraceptive use, non-lactating and maintaining a desire for a child. (Trends in prevalence4). Some methods may be used in concert with other methods. The rate increases to 10-12% after CC ovulation induction and to 12-15% per cycle after hMG/hCG ovulation induction. The later they are detected, the more complicated having children becomes. 8,46 Obesity impairs fertility and the response to fertility treatments, including in vitro fertilization; therefore, it is advisable to counsel patients who are obese to lose weight before conception or infertility treatments.
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Infertility Textbooks
Female Infertility Boosters
Infertility Treatment Unexplained