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NIH: National Institute of Child Health and Human Development Start Here Defining Infertility (American Society for Reproductive Medicine) - PDF Infertility (Mayo Foundation for Medical Education and Research) Also in Spanish Infertility and Fertility (National Institute of Child Health and Human Development) Infertility FAQ's (Centers for Disease Control and Prevention) Optimizing Natural Fertility (American Society for Reproductive Medicine) - PDF Also in Spanish Pregnancy Problems? Treatment Treatment will depend on many factors, including the age of the person who wishes to conceive, how long the infertility has lasted, personal preferences, and their general state of health. Radiation therapy: If this is aimed near the reproductive organs, it can increase the risk of fertility problems. Heavy, long, or painful periods Heavy periods may indicate an underlying condition affecting fertility.

Obesity and increased risk for oligozoospermia and azoospermia. Age: Male fertility starts to fall after 40 years. Practice Committee of the American Society for Reproductive Medicine. Studies on Testicular Biopsies from Vasectomized Men. (PDF, 18 MB) Chapter 21 from Vasectomy: Immunologic and Pathophysiologic Effects in Animals and Man, 1979. 40 Patients using these agents should be counseled about these risks.

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Primary testicular causes of infertility Primary testicular problems may be chromosomal or nonchromosomal in nature. Mumps, leading to orchitis (testicular inflammation), may cause secondary testicular atrophy in the small number of men infected after puberty. In men, exposure to lead can reduce both sex drive and sperm count. 17 Evaluation of male infertility starts with a history and physical examination focusing on previous fertility, pelvic or inguinal surgeries, systemic diseases, and exposures. The main reasons for fertility tourism are legal regulation of the sought procedure in the home country, or lower price. Lack of pregnancy Lack of pregnancy can be related to disruption of the cervical mucus, inadequate follicular development, presence of luteinized unruptured follicle syndrome, progesterone deficiency, and premature administration of hCG to trigger ovulation.

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About 10% of reproductive age women are affected by endometriosis. In a recent meta-analysis, letrozole was found to be as effective as other methods of ovulation induction. [169] The usual dose for letrozole ovulation induction is 2.

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Open-ended Vasectomy, Sperm Granuloma, and Postvasectomy Orchialgia. (PDF, 13 MB) Fertility and Sterility, 1979. Primary Lymphoma of Kidney. (PDF, 586 KB) The Journal of Urology, 1973. At least one open tube is required for IUI, and any sperm abnormality cannot be severe, otherwise the sperm will not be able to swim to and fertilize the egg. If you and your partner agree, extra embryos can be frozen and saved to use later. Ovulation often can be detected by keeping a menstrual calendar or using an ovulation predictor kit. A varicocele is a varicose vein found in the scrotum. Allocation of medical resources that could be used elsewhere The legal status of embryos fertilized in vitro and not transferred in vivo. (See also beginning of pregnancy controversy). Counseling about options should be offered to couples who are not physically able to conceive (i.e., same-sex couples or persons lacking reproductive organs). Sometimes, female infertility is related to a hormone problem. Irregular periods The average woman’s cycle is 28 days long.