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Only 5-10% of these couples eventually achieve a pregnancy within 5 years. Predominantly anovulation is caused by hormonal imbalances such as Polycystic Ovarian Syndrome (PCOS) but ovarian scarring and premature menopause can also result in failure to ovulate. • Tubal disease, comprising anything from mild adhesions to complete blockage of the fallopian tubes, prevents fertilised eggs from travelling from the site of fertilisation to the uterus. An abnormal semen analysis warrants a further evaluation usually by a reproductive urologist. It is better for a couple to see the doctor together.

If the sperm are of good quality and the mechanics of the woman's reproductive structures are good (patent fallopian tubes, no adhesions or scarring), a course of ovulation induction maybe used. Chronic conditions: These include AIDS or cancer. 6,8,23 A high FSH level (10 to 20 mIU per mL [10 to 20 IU per L]) drawn on day 3 of the menstrual cycle is associated with infertility. Overheated testicles: Causes include an undescended testicle, a varicocele, or varicose vein in the scrotum, the use of saunas or hot tubs, wearing tight clothes, and working in hot environments. Female factor Dysfunction of the female reproductive organs is also apparent in around 40% of infertile couples. Those who prefer surgery first argue that because the size of endometriosis decreases, lesions that cannot be observed during surgery may be present; therefore, the operation is less than ideal and is associated with an increased chance for early recurrence.

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Infertility treatments are expensive and often not covered by insurance-this could deter lower Source : Demographic data evaluation.: fertility measures PPT Presentation Summary : COVENANT UNIVERSITY DEPT. Y Chromosome Deletions in Azoospermic and Severely Oligozoospermic Men Undergoing Intracytoplasmic Sperm Injection after Testicular Sperm Extraction. (PDF, 336 KB) Human Reproduction, 1998. IVF and other fertility treatments have resulted in an increase in multiple births, provoking ethical analysis because of the link between multiple pregnancies, premature birth, and a host of health problems. PID is a major cause of tubal infertility and can lead to ectopic pregnancy, which may further damage the reproductive system. It is more successful in women who have previously been pregnant.

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I cannot stress enough how amazing this staff is, they make you feel like family! Treatment of the cause: Male Factor: (Liaise with the andrologist) 1. A Physical Map of the Human Y Chromosome. (PDF, 160 KB) Nature, 2001. Sperm or egg donation: If necessary, sperm or eggs can be received from a donor. It occurs when a woman either doesn’t ovulate regularly or doesn’t ovulate at all.

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Physical exam A directed physical exam that may include a pelvic ultrasound should be performed. 24 Other tests of ovarian reserve, such as the clomiphene (Clomid) challenge test, antral follicle count, and antimüllerian hormone level, are also generally performed to predict response to ovarian stimulation with exogenous gonadotropins and assisted reproductive technology. Once again this may increase case lengths but costs are greatly reduced (ideal for developing countries) and widespread accidents of loose clips are eliminated.[citation needed] Gynecological diagnosis[edit] In gynecology, diagnostic laparoscopy may be used to inspect the outside of the uterus, ovaries, and fallopian tubes, as, for example, in the diagnosis of female infertility. However, these tests have only poor to moderate predictive value despite widespread use. 25 Women with no clear risk of tubal obstruction should be offered hysterosalpingography to screen for tubal occlusion and structural uterine abnormalities. Surgical sperm aspiration: The sperm is removed from part of the male reproductive tract, such as the vas deferens, testicle, or epididymis.