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Low weight: Obesity is not the only way in which weight can impact fertility. Possible problems could be that the egg is not released at the optimum time for fertilization, that it may not enter the fallopian tube, sperm may not be able to reach the egg, fertilization may fail to occur, transport of the zygote may be disturbed, or implantation fails. This can result from: A medical condition: This could be a testicular infection, cancer, or surgery. It's used to remove polyps and fibroid tumors, divide scar tissue, and open up blocked tubes.

Aetiology of Congenital Absence of Vas Deferens: Genetic Study of Three Generations. (PDF, 4 MB) Human Reproduction, 1993. Used by some clinicians to evaluate the motility of the sperm and its ability to travel through the cervical mucus. The hypothalamus, the primary integration center, responds to various signals from the central nervous system (CNS), pituitary gland, and testicles to secrete gonadotropin-releasing hormone (GnRH) in a pulsatile pattern approximately every 70-90 minutes. This diagnosis is therefore shared by 15% of couples attempting to conceive.

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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. The effects of age on fertility are moderate and do not begin to take an effect until the late 30s. This may partly be due to the fact that the average age at which women give birth to their first child also keeps rising because of occupational preferences and longer periods of education. Some respond by actively avoiding the issue altogether; middle-class men are the most likely to respond in this way.[21] In the United States some treatments for infertility, including diagnostic tests, surgery and therapy for depression, can qualify one for Family and Medical Leave Act leave. Infertility in women was ranked the 5th highest serious global disability5&6 (among populations under the age of 60). Stem cell therapy[edit] Nowadays, there are several treatments (still in experimentation) related with stem cell therapy.

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Obstructions in the sperm transport plumbing can sometimes be surgically corrected. Primary infertility is when a couple has not conceived after trying for at least 12 months without using birth control Secondary infertility is when they have previously conceived but are no longer able to.

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The follicle should develop to a diameter of 23-24 mm before a spontaneous LH surge occurs. Postcoital testing and antisperm antibody testing are no longer considered useful in this evaluation. 6 Accuracy may be improved by use on midday or evening urine specimens, which correlate better with the peak in serum luteinizing hormone levels. Demographic definitions of infertility An inability of those of reproductive age (15-49 years) to become or remain pregnant within five years of exposure to pregnancy. (DHS2) An inability to become pregnant with a live birth, within five years of exposure based upon a consistent union status, lack of contraceptive use, non-lactating and maintaining a desire for a child. (Trends in prevalence4). It is increasingly recognized that egg quality is of critical importance and women of advanced maternal age have eggs of reduced capacity for normal and successful fertilization. Fibroids that distort the uterine cavity have an impact on the ability of an embryo to implant and should be removed surgically. Infertility caused by DNA defects on the Y chromosome is passed on from father to son. The cause of sterility can also be found in the tubes.