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Definition of Infertility Infertility is defined as the inability to conceive after 12 months of having sexual intercourse with average frequency, without the use of any form of birth control. Epididymal Extravasation Following Vasectomy as a Cause for Failure of Vasectomy Reversal. (PDF, 22 MB)Fertility and Sterility, 1979. If a blockage is present, surgery may be necessary. Find an IVF Doctor  |  Free IVF Class  | Class Testimonials 5) Third party reproduction: This is a general reference to a general process where another person provides sperm or eggs, or where another woman acts as a gestational surrogate, with the purpose of helping another person or couple have a child. It may also prevent the sperm from reaching the egg. Surgical sperm aspiration: The sperm is removed from part of the male reproductive tract, such as the vas deferens, testicle, or epididymis.

When a man ejaculates and releases semen through the penis, the seminal fluid, or semen, helps transport the sperm toward the egg. Unfortunately, clinical examinations, ultrasounds and analyses rarely indicate the reason for the problem and, as such, medical or surgical treatment is infrequent. In this case, your doctor may recommend surgically extracting sperm from part of your reproductive tract to help you to conceive. Small or firm testicles could indicate potential issues that should be explored by a medical practitioner. Metformin (Glucophage): If Clomifene is not effective, metformin may help women with PCOS, especially when linked to insulin resistance.

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It is also important to increase the frequency of intercourse by having well-timed sex regularly to improve fertility. Prevalence of Premature Ovarian Failure in Monozygotic and Dizygotic Twins. (PDF, 90 KB) Human Reproduction, 2007.

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These time intervals would seem to be reversed; this is an area where public policy trumps science. One-third of couples will discover fertility problems in only the woman. Factors Affecting Fertility: Timing of Intercourse Intercourse prior to ovulation is key to maximizing the chance of pregnancy. Treatment of the cause: 27. Tubal and uterine factors: 1.

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6 Women with risk factors for tubal obstruction, such as endometriosis, previous pelvic infections, or ectopic pregnancy, should instead be offered hysteroscopy or laparoscopy with dye to assess for other pelvic pathology. Fimbrioplasty for fimbria agglutination or phimosis without destruction of the cilial epithelium is equally successful. Overweight or obesity: This may reduce the chance of conceiving. Spermatid Conception. (PDF, 1 MB) Human Reproduction, 1998. Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties. This seems to result in a significant improvement in fertility, although some studies disagree. Surgical procedures are now rarely used because of the high success rate of other infertility treatments.  IUI: Fertility doctors may also recommend intrauterine insemination or IUI.