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Some causes, such as hyperprolactinemia, are reversible with proper treatment. Treatment options available for any particular infertile couple will depend also on the duration of their infertility, which partner is affected, the age of the female partner and if any has a previous children or not, the underlying pathological cause, and if the treatment will be covered by the National Health System (NHS) or funded by their own. Key to the diagnosis of male infertility is a semen analysis, which assesses primarily sperm numbers, sperm movement and sperm form. Under current NHS policies, fertility treatment is only funded for those proven infertile, and those where fertility is unexplained but attempts at conception have failed. A woman of reproductive age who is using artificial insemination to conceive (with either partner or donor sperm) after 6 failed trials. Consider earlier referral to infertility specialists where: - the woman is aged 36 years or over. - there is a known clinical cause of infertility or a history of predisposing factors for infertility. - treatment is planned that may result in infertility (such as treatment for cancer). - People who are concerned about their fertility and who are known to have chronic viral infections such as hepatitis B, hepatitis C or HIV. If a woman has an ovulation disorder, she may ovulate infrequently or not all.

However, about one in five cases of infertility has no clear diagnosed cause.[73] In Britain, male factor infertility accounts for 25% of infertile couples, while 25% remain unexplained. The average pregnancy rate achieved after a natural-cycle intrauterine insemination is 8%.

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Mittelschmerz and premenstrual symptoms tend to be absent or reduced when a woman is anovulatory. Additionally, the quality of her eggs also decreases increases the chance of chromosomal abnormalities. Sperm count often returns to normal after stopping the medication. Clark AM, Thornley B, Tomlinson L, Galletley C, Norman RJ. Guidelines and recommendations were retrieved from the best evidence reviews at the American College of Obstetricians and Gynaecologists (ACOG), American Society for Reproductive Medicine (ASRM), Canadian Fertility and Andrology Society (CFAS), European Society of Human Reproduction and Embryology (ESHRE), Human Fertilisation and Embryology Authority (HFEA), Royal College of Obstetricians and Gynaecologists (RCOG), and the World Health Organization (WHO). This allows for the diagnosis and treatment of conditions such as endometriosis with one procedure.

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Treatment of Anovulatory Conditions Jump to section + Women with WHO group I ovulatory disorders should be counseled to achieve a normal body weight. A history and physical examination can help direct the evaluation. Although CASA produces good qualitative data, it is a labor-intensive procedure with a high initial cost and is plagued with inaccuracies when sperm concentrations are very high or very low. Legal, cultural and religious inquiries have limited the available choices in some countries, such as the use of donor sperms or oocytes.

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Spermatid Conception. (PDF, 1 MB) Human Reproduction, 1998. Microscopic Vasectomy Reversal 30 Years Later: A Summary of 4010 Cases by the Same Surgeon. (PDF, 295 KB)Journal of Andrology, 2004. Long-term Economic Benefits Attributed to IVF-conceived Children: A Lifetime Tax Calculation. (PDF, 225 KB) The American Journal of Managed Care, 2008. For women aged 35, about 94% who have regular unprotected sexual intercourse get pregnant after three years of trying. After their release from the Sertoli cells into the lumen of the seminiferous tubules, the spermatids successively pass through the tubuli recti, rete testis, ductuli efferentes, and, finally, the epididymis (see image below). This limitation also reduces tactile sensation, making it more difficult for the surgeon to feel tissue (sometimes an important diagnostic tool, such as when palpating for tumors) and making delicate operations such as tying sutures more difficult.[21] The tool endpoints move in the opposite direction to the surgeon's hands due to the pivot point, making laparoscopic surgery a non-intuitive motor skill that is difficult to learn. If the sperm do not have the right shape, or they cannot travel rapidly and accurately towards the egg, conception may be difficult. Many countries have special frameworks for dealing with the ethical and social issues around fertility treatment. 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.