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Debate over whether health insurance companies (e.g. in the US) should be required to cover infertility treatment. Hysterosalpingography: Fluid is injected into the woman's uterus and X-rays are taken to determine whether the fluid travels properly out of the uterus and into the fallopian tubes. Exercise: Both too much and too little exercise can lead to fertility problems. Sperm motility Motility is described as the percent of sperm present with flagellar motion viewed on a bright-field or phase-contrast microscope. Women receiving fertility treatment have a slightly higher risk of an ectopic pregnancy. Source : How To Use California’s Department Of Managed Health Care ...

To Transplant or Not to Transplant – That Is the Question. (PDF, 3 MB) 2010. Therefore, this problem must be corrected first or concomitantly to obtain an ovulatory response. Lifestyle and environmental factors such as smoking, alcohol and drugs, poor eating habits, exposure to increases in testicular temperature (for example, in professions where the worker spends many hours sitting down) and exposure to toxins are factors that compromise semen quality.

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Combined infertility[edit] In some cases, both the man and woman may be infertile or sub-fertile, and the couple's infertility arises from the combination of these conditions. It is specially oriented for cancer patients, whose sperm is destroyed due to the gonadotoxic treatment they are submitted to.[70] Ovaric stem cells: it is thought that women have a finite number of follicles from the very beginning. Three modalities are used to treat myomas: medical treatment, surgical treatment, and embolization. Which drug can be used for induction of ovulation? In this case synthetic FSH by injection or Clomid (Clomiphene citrate) via a pill can be given to stimulate follicles to mature in the ovaries. Laparoscopy for Cryptorchidism. (PDF, 1 MB) The Journal of Urology, 1980.

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Microsurgery in Clinical Urology. (PDF, 5 MB) Urology, 1975. Role of Semen Analysis in Subfertile Couples. (PDF, 250 KB) Fertility and Sterility, 2010. Passive smoking has also been linked to lower fertility. In addition to the alteration of menstrual periods and infertility, chronic anovulation can cause or exacerbate other long term problems, such as hyperandrogenism or osteopenia.

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Outlook For couples who experience fertility problems and those who wish to have children at an older age, there are more options available than ever before. Vasectomy. (PDF, 5 MB) From the Encyclopedia of Reproduction, 1999. In order to conceive, your sperm must be:  Highly concentrated — normally, there should be at least 15 million sperm in every ml of semen5  Moving well (motile) — a lashing tail helps your sperm to swim to your partner’s egg  Normally shaped — healthy sperm should be shaped like a streamlined tadpole  You may find that your semen contains a very low number of sperm (oligozoospermia), or no sperm at all (azoospermia). They can also carry out some basic tests on both partners to see if there is an identifiable reason for not having achieved a pregnancy. View Media Gallery Uterine synechiae Uterine synechiae are corrected using operative hysteroscopy. Judaism and Repoductive Technology. (PDF, 160 KB) 2003. Women trying to conceive often have depression rates similar to women who have heart disease or cancer.[18] Emotional stress and marital difficulties are greater in couples where the infertility lies with the man.[19] Older people with adult children appear to live longer.[20] Why this is the case is unclear and may dependent in part on those who have children adopting a healthier lifestyle, support from children, or the circumstances that led to not having children.[20] [edit] In many cultures, inability to conceive bears a stigma. 6,23 Anovulatory women should have further investigation to determine treatable causes such as thyroid disorders or hyperprolactinemia based on symptoms. Therefore, data estimating the prevalence of infertility cited by various sources differs significantly.[8] A couple that tries unsuccessfully to have a child after a certain period of time (often a short period, but definitions vary) is sometimes said to be subfertile, meaning less fertile than a typical couple. Intracytoplasmic Sperm Injection and Infertility. (PDF, 53 KB) Nature Genetics, 2001. The surgeon can remove implants and scar tissue, and this may reduce pain and aid fertility. 50% are female causes with 25% being due to anovulation and 25% tubal problems/other.[74] In Sweden, approximately 10% of couples wanting children are infertile.[75] In approximately one third of these cases the man is the factor, in one third the woman is the factor, and in the remaining third the infertility is a product of factors on both parts. 6,28 Additionally, postcoital testing of cervical mucus is no longer recommended because it does not affect clinical management or predict the inability to conceive.