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Unexplained infertility in women or men may be managed with another year of unprotected intercourse, or may proceed to assisted reproductive technologies, such as intrauterine insemination or in vitro fertilization. 1 Among couples 15 to 44 years of age, nearly 7 million have used infertility services at some point.

Any abnormality in the tubes can affect or impede conception: hydrosalpinx, tubal occlusion or salpingitis. It is possible that this mechanism evolved to protect the mother’s health. According to the literature survey, the most common causes of infertility are: male factor [5,7-9,13-15] such as sperm abnormalities [9,13,15], female factor [7-9,14-16] such as ovulation dysfunction [7,8] and tubal pathology [7-9], combined male and female factors [7,9,14,15] and unexplained infertility; where no obvious cause could be detected [7-9]. Heavy, long, or painful periods Heavy periods may indicate an underlying condition affecting fertility. Fertility awareness methods are used to discern when these changes occur by tracking changes in cervical mucus or basal body temperature.

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Signs and Symptoms of Infertility Signs and symptoms of infertility are often related to other underlying conditions. Surgical procedures for women If the fallopian tubes are blocked or scarred, surgical repair may make it easier for eggs to pass through. More than 60% of sperm should be normal, and less than 2-3% should be immature. Endometriosis is usually more common in women in their mid-twenties and older, especially when postponed childbirth has taken place.[55] Another major cause of infertility in women may be the inability to ovulate. Passive smoking has also been linked to lower fertility. The Three-kidney Rat Model. (PDF, 2 MB) Investigative Urology, 1974.

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Helped track Ovulation Phantom2005 I started using this app because my husband and I were wanting to have another baby. BMI (body mass index) may be a significant factor in fertility, as an increase in BMI in the male by as little as three units can be associated with infertility. In all cases, however, the pain is transient, as the body tissues will absorb the CO2 and eliminate it through respiration.[28] Coagulation disorders and dense adhesions (scar tissue) from previous abdominal surgery may pose added risk for laparoscopic surgery and are considered relative contra-indications for this approach. Assisted Reproductive Technology: Using Ejaculated, Fresh, and Frozen-thawed Epididymal and Testicular Spermatozoa Gives Rise to Comparable Results after Intracytoplasmic Sperm Injection. (PDF, 5 MB) Fertility and Sterility, 1995.

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Gonadotropin releasing hormone analogs (GnRH-a) are synthetic peptides whose structure is similar to the natural GnRH. Open-ended Vasectomy, Sperm Granuloma, and Postvasectomy Orchialgia. (PDF, 13 MB) Fertility and Sterility, 1979. Bromocriptine and cabergoline are dopamine agonists used to suppress prolactin levels. Hence the ability to conceive a normal pregnancy decreases from when a woman is in her early 30s into her 40s. If an endocrinopathy, such as hyperprolactinemia, is diagnosed, the underlying cause should be treated.