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Basal body temperatures are no longer considered a reliable indicator of ovulation, and are not recommended for evaluating ovulation. For a woman to conceive, certain things have to happen: vaginal intercourse must take place around the time when an egg is released from her ovary; the system that produces eggs has to be working at optimum levels; and her hormones must be balanced.[54] For women, problems with fertilisation arise mainly from either structural problems in the Fallopian tube or uterus or problems releasing eggs. Coping mentally It is impossible to know how long treatment will go on for and how successful it will be. Oei SG, Helmerhorst FM, Bloemenkamp KW, Hollants FA, Meerpoel DE, Keirse MJ. This technique involves an injection of a single healthy sperm directly injected into mature egg.

Distribution of Spermatogenesis in the Testicles of Azoospermic Men: The Presence of Spermatids in the Testes of Men with Germinal Failure. (PDF, 295 KB) Human Reproduction, 1997. Have you had any sexually transmitted infections or abnormal pap smears? 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. If each step has occurred as planned, implantation of the fertilized egg into the uterus can take place within 72 hours of the ICSI process. Endometriosis causes infertility by producing inflammation and scarring, which can result in not only pain but also potentially detrimental effects on egg, sperm or embryo. Causes in men The following are common causes of infertility in men.

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Outside pregnancy and lactation, women with high levels of prolactin may have irregular ovulation cycles and fertility problems. It stimulates the ovaries to mature egg follicles. However, some have suggested that patients should avoid conception for 6 months to 2 years after completion of radiation therapy because of the possibility of chromosomal aberrations in their sperm caused by the mutagenic properties of radiation therapy.

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Hypogonadotropic Hypopituitarism: Low pituitary gland output of LH and FSH.  This condition arrests sperm development and causes the progressive loss of germ cells from the testes and causes the seminiferous tubules and Leydig (testosterone producing) cells to deteriorate.  May be treated with the drug Serophene.  However, if all germ cells are destroyed before treatment commences, the male may be permanently infertile. The rising number of obese individuals may be due in part to an energy-rich diet as well as insufficient physical exercise.  In addition to other potential health risks, obesity can have a significant impact on male and female fertility. Hyperprolactinemia: If prolactin levels are high, and the woman is not pregnant or breastfeeding, it may affect ovulation and fertility. Some methods may be used in concert with other methods.

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Some physical effects may also result from treatment. Females[edit] The following causes of infertility may only be found in females. Both infertility and subfertility are defined as the inability to conceive after a certain period of time (the length of which vary), so often the two terms overlap. Investigations Infertile couples are usually adviced to start their investigations after 12 months of trying to conceive or after 6 months if the female partner is more than 35 years old or immediately if there is an obvious cause for their infertility or subfertility [16]. There are many disorders that may impact the ability for a woman to ovulate normally. Carcinoma in the Bladder Left Behind. (PDF, 3 MB) The Journal of Urology, 1973. Mental stress: This may affect female ovulation and male sperm production and can lead to reduced sexual activity.