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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. Vasoepididymostomy to the Head of the Epididymis: Recovery of Normal Spermatozoal Motility. (PDF, 3 MB)Fertility and Sterility, 1980. The pituitary gland produces these hormones, so any problems with this gland may also influence infertility.
Women receiving fertility treatment have a slightly higher risk of an ectopic pregnancy. Anovulation can also cause cessation of periods (secondary amenorrhea) or excessive bleeding (dysfunctional uterine bleeding). Psychological/Physical/Behavioral Problems: Several sexual problems exist that can affect male fertility. These problems are most often both psychological and physical in nature: it is difficult to separate the physiological and physical components.
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It is often defined as not conceiving after 12 months of regular sexual intercourse without the use of birth control. Alkalinizing the urine before the procedure is necessary. PID is a major cause of tubal infertility and can lead to ectopic pregnancy, which may further damage the reproductive system. There are three main types of fertility treatment: medical treatment (such as ovulation induction therapy); surgical treatment (such as laparoscopy and hysteroscopy); and the different assisted reproduction techniques [37]. Thankfully, even when the cause of infertility is not known, various fertility treatments can overcome the unknown road block that was preventing pregnancy and eventually lead to delivery of a healthy baby. The man is advised not to ejaculate for 2 to 3 days before giving the semen sample for evaluation.
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The pulsatile nature of GnRH is essential to normal gonadotropin release; a continuous stimulation inhibits their secretion. Several studies have demonstrated that an increase in BMI is correlated with a decrease in sperm concentration, a decrease in motility and an increase DNA damage in sperm.
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Round Spermatid Injection. (PDF, 422 KB) Fertility and Sterility, 2000. Women who have a body weight 10% to 15% below normal may have reduced fertility. Although 60% of patients have evidence of antisperm antibodies after vasectomy, the clinical significance has not been completely elucidated. Treatment options available for any particular infertile couple will depend also on the duration of their infertility, which partner is affected, the age of the female partner and if any has a previous children or not, the underlying pathological cause, and if the treatment will be covered by the National Health System (NHS) or funded by their own. Some suggest that the number of times a couple has intercourse should be reduced to increase sperm supply, but this is unlikely to make a difference. Up to 2 percent of men are thought to have suboptimal sperm. If an endocrinopathy, such as hyperprolactinemia, is diagnosed, the underlying cause should be treated. Sex any time in the five days before ovulation can create a pregnancy. Diagnosis of Sterility An important part of the diagnosis is a detailed anamnesis and the routine gynecologic examination. This abnormality is usually surgically corrected in infancy. This measurement is called the antral follicle count and may correlate with fertility potential. Incidence and main causes of infertility in a resident population (1,850,000) of three French regions (1988–1989). The predictive value of hysterosalpingography for tubal and peritoneal infertility factors. In humans, infertility is the inability to become pregnant after one year of intercourse without contraception involving a male and female partner.[2] There are many causes of infertility, including some that medical intervention can treat.[3] Estimates from 1997 suggest that worldwide about five percent of all heterosexual couples have an unresolved problem with infertility. Infertility tests for women A woman will undergo a general physical examination, and the doctor will ask about her medical history, medications, menstruation cycle, and sexual habits.
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See also
Infertility and Race
Genetic Infertility Symptoms
Female Infertility in Cystic Fibrosis