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On the day of ovulation, a mucus sample is taken after intercourse. National Collaborating Centre for Women's and Children's Health. Preconception lifestyle advice for people with subfertility. DEFINITION OF TERMS Source : Endometriosis & infertility PPT Presentation Summary : Fertility Issues. A defect in any of these sperm structures may result in infertility that will not be detected by semen analysis.[60] Antisperm antibodies cause immune infertility.[23][24] Cystic fibrosis can lead to infertility in men.

It must be kept in mind that a woman is no longer fertile around six years prior to the menopause. Microsurgical Reversal of Tubal Sterilization: Factors Affecting Pregnancy Rate, with Long-term Follow-up. (PDF, 2 MB) Obstetrics & Gynecology, 1984. If the woman is aged over 35 years, the couple may wish to see a doctor earlier, because fertility testing can take time, and female fertility starts to drop when a woman is in her 30s. This may reflect an unknown immunological incompatibility or other unknown problem with fertilization or implantation. Search dates: January 6, 2014; January 28, 2014; February 5, 2014; and November 18, 2014. If the egg does not travel, it can be harder to conceive naturally.

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It varies with the age (the optimal female age is between 23 and 39 years) and with body weight (the ideal body mass index is between 19 and 30). Medical conditions Some medical conditions can affect fertility. The production of anti-sperm antibodies by the woman’s immune system can interfere with fertilization.

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This page covers the possible causes of infertility in men and women. Careful monitoring during treatment and pregnancy can help reduce the risk of complications. Blockage of the ejaculatory duct: Sperm can be extracted directly from the testicles and injected into an egg in the laboratory. Gracia CR, Sammel MD, Coutifaris C, Guzick DS, Barnhart KT.

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There are other hormonal anomalies with no direct link to the ones mentioned above that can affect ovulation. As new technology becomes available, fertility treatment is now accessible to more people, and success rates and safety are improving all the time. Diagnostic evaluation of the infertile female: a committee opinion. In GIFT, the sperm and eggs are mixed together before a doctor inserts them. 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. Used by some clinicians to evaluate the motility of the sperm and its ability to travel through the cervical mucus. Testicular Sperm Extraction (TESE) and Intracytoplasmic Sperm Injection (ICSI) for Non-obstructive Azoospermia.(PDF, 1 MB) 10th World Congress on In Vitro Fertilization and Assisted Reproduction, 1997. A bicornuate uterus is characterized by the presence of an indentation at the fundus. A mouse study has suggested that ingredients in some household detergents may reduce fertility. Treatment of Uterine Factors Until in vitro fertilization became available, a patient with congenital absence of the uterus and vagina (Rokitansky-Küster-Hauser syndrome) had no chance to have a biologic child. Reversal of Vasectomy and the Treatment of Male Infertility. (PDF, 4 MB) Urologic Clinics of North America, 1981. Clinical examination Full clinical examination of both partners usually stands for the underlying physical problem [17-22,24-26], (Appendix 2). The laboratory evaluation begins with a semen analysis.