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Factors Affecting Fertility: Frequency of Intercourse Various factors may adversely affect fertility. Fertility Evaluation Procedure Before the medical data are collected, the couple should be informed about the different causes of infertility, the tests and procedures required to make a diagnosis and the various therapeutic possibilities. In patients with varicocele, there is insufficient evidence to suggest corrective surgery will increase live birth rates, despite improvement in semen analysis results.

WHO categorizes ovulatory disorders into three groups: group I is caused by hypothalamic pituitary failure (10%), group II results from dysfunction of hypothalamic-pituitary-ovarian axis (85%), and group III is caused by ovarian failure (5%). Live Birth Following Day Surgery Reversal of Female Sterilisation in Women Older then 40 Year: A Realistic Option in Australia? (PDF, 156 KB) Medical Journal of Australia, 2007. Treatment of Female Infertility: Ovulation Induction Agents The main agents used for the induction of ovulation include: Clomiphene citrate is an orally active, nonsteroidal agent structurally similar to estrogen. Your doctor may suggest that you take gonadotropin if you have unexplained infertility or when other kinds of treatment haven't helped you get pregnant. Careful monitoring during treatment and pregnancy can help reduce the risk of complications. MESA or TESA? (PDF, 115 KB) Human Reproduction, 1996.

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Healthcare providers may also conduct a semen analysis to check the number, shape, and movement of sperm. Opinion: Microsurgical TESE and the Distribution of Spermatogenesis in Non-obstructive Azoospermia. (PDF, 5 MB)Human Reproduction, 2000. Controversies in OB/GYN: Is Varicocelectomy Useful for Treatment of Male-factor Infertility? (PDF, 4 MB)Contemporary OB/GYN, 2001. Other causes of ovulation disorders include ovarian insufficiency and hypothalamic amenorrhea. Without an erection, it is difficult for a man to release sperm inside the vagina—and, therefore, difficult to get a woman pregnant. If a blockage is present, surgery may be necessary.

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For example, treatment for Hodgkin disease has been estimated to lead to infertility in as many as 80-100% of patients. 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. Previous sterilization treatment: In women who have chosen to have their fallopian tubes blocked, the process can be reversed, but the chances of becoming fertile again are not high.

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It may also prevent the sperm from reaching the egg. Metformin (Glucophage) is another type of medication that may help you ovulate normally if you have insulin resistance or PCOS (polycystic ovarian syndrome). 389 KB ARTICLES FROM THE 1980s Microsurgical Reversal of Female Sterilization: The Role of Tubal Length. (PDF, 2 MB) Fertility and Sterility, 1980. Y Chromosome Deletions in Azoospermic and Severely Oligozoospermic Men Undergoing Intracytoplasmic Sperm Injection after Testicular Sperm Extraction. (PDF, 336 KB) Human Reproduction, 1998. Financing fertility treatment can also be costly, but there are programs that can help with this.Introduction Over their lifetimes, approximately one in every five couples in the United States seeks infertility care.  Surprisingly, only half of couples who are trying to become pregnant achieve pregnancy easily and about one in ten American couples of reproductive age are involuntary infertile; male infertility accounts for half of these cases.  Despite the relative importance of infertility due to the male, infertility evaluations have traditionally focused on women, because women tend to seek gynecological care and because men often are reluctant to seek advice. Your doctor may ask you many of the following questions: How long have you been trying to get pregnant? Congenital disorders and chryptorchidism (undescended testicles). In 1978, the first baby was born as a result of IVF. Ectopic pregnancy This is when a fertilized egg implants outside the womb, usually in a fallopian tube.