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Primary infertility When a woman is unable to ever bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth she would be classified as having primary infertility. 22 Treatment of Male Infertility Jump to section + Underlying etiology determines the therapeutic course, although male infertility is unexplained in 40% to 50% of cases. Other hormones including inhibin B and leptin, may also be affected by obesity. Females[edit] The following causes of infertility may only be found in females.

Evaluation may be initiated sooner in patients who have risk factors for infertility or if the female partner is older than 35 years. A history of pelvic infections or sexually transmitted diseases: Sexually transmitted infections, such as chlamydia or gonorrhea, can cause inflammation and permanent scarring of the fallopian tubes. 1 Among couples 15 to 44 years of age, nearly 7 million have used infertility services at some point.

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The most common identifiable causes of female fertility problems are outlined below: • Ovulatory dysfunction, (or anovulation) where an egg is not released from the ovary every month, is the single most common cause of female infertility. Optimal sperm conditions Although only one sperm is needed to fertilise your partner’s egg, the enzymes from multiple sperm are needed to break down the egg’s protective barrier. Veltman-Verhulst SM, Cohlen BJ, Hughes E, Heineman MJ. Generally, evaluation should be offered to couples who have not conceived after one year of unprotected vaginal intercourse. Success rates with IVF procedure are approximately 20% per egg retrieval (approximately 20 couples out of every 100 who try one retrieval with IVF are likely to achieve pregnancy and delivery). Postcoital testing and antisperm antibody testing are no longer considered useful in this evaluation.

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Exposure to some chemicals: Some pesticides, herbicides, metals, such as lead, and solvents have been linked to fertility problems in both men and women. Your physician will discuss these approaches to having a baby if appropriate to your particular case. Microsurgery for the Undescended Testicle. (PDF, 5 MB) Urologic Clinics of North America, 1982. Carcinoma in the Bladder Left Behind. (PDF, 3 MB) The Journal of Urology, 1973. This indicates whether the fallopian tubes are open or blocked. Basic Work-up for Infertility It is very important to remember that infertility can occur as a result of one or more male or female factors.

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Ejaculation disorders: If the ejaculatory ducts are blocked, semen may be ejaculated into the bladder Hormonal imbalance: Hypogonadism, for example, can lead to a testosterone deficiency. Congenital Absence of the Vas Deferens: The Fertilizing Capacity of Human Epididymal Sperm. (PDF, 3 MB) New England Journal of Medicine, 1990. The incidence of congenital malformation in IVF babies ranges between 2% and 3% worldwide and is similar to that in babies conceived naturally [45]. VITRIKAS, MD, David Grant Medical Center Family Medicine Residency, Travis Air Force Base, California Am Fam Physician. 2015 Mar 1;91(5):308-314.   Patient information: See related handout on infertility, written by the authors of this article.   Related letter: Natural Procreative Technology for Treating Infertility This clinical content conforms to AAFP criteria for continuing medical education (CME). The surgeon can remove implants and scar tissue, and this may reduce pain and aid fertility. These medications are forms of reproductive Source : Embryo Dispositionoptions PPT Presentation Summary : Nashville Fertility Center Physicians Nursing staff Qualified mental health professional Nashville fertility Center can provide you with names of mental health Source : Fertility Preservation for Cancer Patients PPT Presentation Summary : For female pre-cancer treatment fertility consultation, ... address the possibility of infertility with patients ... of fertility preservation for any reason, Source : Inscribed By Nature PPT Presentation Summary : We seem to think that we can substitute an irreplaceable and irretrievable beauty with something which we have created ourselves”. Diagnosis and Management of Hypogonadism, Infertility, and Impotence. (PDF, 13 MB) Chapter 22 of textbook,Male Reproductive Dysfunction, 1986. The success rate of IVF for live birth is 40% among women under 35 years of age. Causes of Sterility in Women In women, the classification of possible causes is much more complex. Microsurgery and Andrology. (PDF, 5 MB) Chapter from textbook, 1991. Surgical ablation: - In minimal or mild endometriosis; surgical ablation or resection of endometriosis plus laparoscopic adhesiolysis improves the chance of pregnancy. - Laparoscopic resection of endometriomas may be beneficial, however recent RCTs suggest intervention only in endometriomas > 4cm. - In moderate or sever endometriosis; surgical treatment should be offered. (Debatable) - Post-operative medical treatment does not improve pregnancy rates.