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Editorial: The Cure and Proliferation of Male Infertility. (PDF, 2 MB) The Journal of Urology, 1998. Ideally, using strict morphology criteria, a minimum of 5 – 15% normal forms leads to a better ability for sperm to fertilize the egg. 6 The initial history should cover menstrual history, timing and frequency of intercourse, previous use of contraception, previous pregnancies and outcomes, pelvic infections, medication use, occupational exposures, substance abuse, alcohol intake, tobacco use, and previous surgery on reproductive organs. If necessary, they refer patients to a fertility clinic or local hospital for more specialized tests. This mucus mainly affects the lungs, but males may also have a missing or obstructed vas deferens.

ARTICLES FROM THE 2010s Ovarian Function 6 Years after Cryopreservation and Transplantation of Whole Sheep Ovaries. (PDF, 496 KB)Reproductive BioMedicine Online, 2010. They can often recommend a counselor and others who can offer appropriate support. BMI (body mass index) may be a significant factor in fertility, as an increase in BMI in the male by as little as three units can be associated with infertility. Epidemiological definition of infertility (for monitoring and surveillance) Women of reproductive age (15–49 years) at risk of becoming pregnant (not pregnant, sexually active, not using contraception and not lactating) who report trying unsuccessfully for a pregnancy for two years or more. (Reproductive Health Indicators) Infertility as a disability Disability: Infertility generates disability (an impairment of function), and thus access to health care falls under the Convention on the Rights of Persons with Disability. Microsurgical Reversal of Tubal Sterilization: Factors Affecting Pregnancy Rate, with Long-term Follow-up. (PDF, 2 MB) Obstetrics & Gynecology, 1984.

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In vitro fertilization[edit] IVF is the most commonly used ART. Some physical effects may also result from treatment.

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Ovulation disorders About one quarter of infertility cases are due to ovulation disorders. For unknown reasons, as women age, egg numbers decrease at a rapid rate.

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The hypophysis is blocked and insensitive to the body’s own GnRH. Unicornuate uterus is associated with renal abnormalities including absence of a kidney or presence of a pelvic kidney; this occurs in 15% of cases. World Health Organization[edit] The World Health Organization defines infertility as follows:[10] United States[edit] One definition of infertility that is frequently used in the United States by reproductive endocrinologists, doctors who specialize in infertility, to consider a couple eligible for treatment is: a woman under 35 has not conceived after 12 months of contraceptive-free intercourse. The effects of age on fertility are moderate and do not begin to take an effect until the late 30s. Pelvic inflammatory disease or STIs like chlamydia and gonorrhea may cause these blockages in the fallopian tubes. Fertility awareness methods are used to discern when these changes occur by tracking changes in cervical mucus or basal body temperature. Transvaginal ultrasound – Ultrasound is an important tool in evaluating the structure of the uterus, tubes, and ovaries. Blood, urine, and imaging tests can be done to discover why you are having trouble getting pregnant. In GIFT, the sperm and eggs are mixed together before a doctor inserts them. Do you have any medical problems or prior surgeries? Placenta Percreta Invading Bladder. (PDF, 2 MB) The Journal of Urology, 1973. Eating disorders such as anorexia nervosa are also associated with extremely low BMI. These men are at a higher risk for breast cancer, leukemia, diabetes, empty sella syndrome, and pituitary tumors.