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A combination of all of these conditions is accordingly termed oligoasthenoteratozoospermia or short OAT syndrome. Prevalence of Premature Ovarian Failure in Monozygotic and Dizygotic Twins. (PDF, 90 KB) Human Reproduction, 2007. Female infertility has many possible causes, such as irregular ovulation, uterine fibroids, fallopian tube blockage, PCOS, or endometriosis. This may take the form of miscarriages or extrauterine pregnancies. Blood test: This can assess hormone levels and whether a woman is ovulating.

3,4  Infertility may arise from male factors, female factors, or a combination of these (Table 15–8). In some patients, secondary sex characteristics develop normally, but they are usually completed late. Some causes are more common in some countries than others, such as pelvic inflammatory diseases (PID) and sexually transmitted infections (STI) in Africa [10].

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Factors affecting Fertility Low body weight - Women with BMI less than 19 and irregular menstruation should be counselled to gain weight. Smoking - Strong association between smoking and fertility in both partners. - Affects success rates of ARTs. A history and physical examination can help direct the evaluation. For example; a woman who has no history suggestive of previous pelvic inflammatory disease or endometriosis, there is no justification to request a laparoscopy especially after normal hysterosalpingography study [33].

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Cystic fibrosis: This is a chronic disease that results in the creation of a sticky mucus. Microscopic Technique for Reversal of Vasectomy. (PDF, 3 MB) Surgery, gynecology & obstetrics, 1976. There are treatments that are specifically for men or for women.

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Known male factor semen abnormalities: If a male partner has a history of infertility with a prior partner, or if there are abnormalities on his semen analysis, then we advise earlier fertility evaluation, ideally within 6 months of attempting pregnancy. Therefore, any pituitary malfunctioning affects other glands under its influence, including the ovaries. Combined infertility[edit] In some cases, both the man and woman may be infertile or sub-fertile, and the couple's infertility arises from the combination of these conditions. The male phenotype proves that androgen was present in utero. Luciano AA, Peluso J, Koch EI, Maier D, Kuslis S, Davison E. Most people will have the strong desire to conceive a child at some point during their lifetime.