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Women ovulate — send an egg down into the uterus — once a month. A Modern Approach to Male Infertility. (PDF, 2 MB) Serono Symposia, Insights Into Infertility Newsletter, 1997. Options for Male Infertility Treatment Some causes of male infertility are treatable or correctable through surgery.

8 Women in group I typically present with amenorrhea and low gonadotropin levels, most commonly from low body weight or excessive exercise. World Health Organization reference values for human semen characteristics. A systematic review of tests predicting ovarian reserve and IVF outcome. Nonchromosomal testicular failure Testicular failure that is nonchromosomal in origin may be idiopathic or acquired by gonadotoxic drugs, radiation, orchitis, trauma, or torsion. Delayed conception and active and passive smoking. Vasectomy. (PDF, 5 MB) From the Encyclopedia of Reproduction, 1999.

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Although relatively uncommon, eating disorders can negatively affect menstruation, fertility, and maternal and fetal well-being. Understanding what defines normal fertility is crucial to helping a person, or couple, know when it is time to seek help.

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In current practice, an alternative for patients with more than 5 sizable follicles is to convert the treatment to IVF. The doctor may ask about the couple's sexual habits and make recommendations regarding these. Seminoma Discovered in Two Males Undergoing Successful Testicular Sperm Extraction for Intracytoplasmic Sperm Injection. (PDF, 807 KB) Human Reproduction, 1995. Its treatment depends on the etiologic factor, but, in many instances, the underlying cause remains unknown. PID leads to a blockage of the fallopian tubes, which prevents fertilization. The surgeon can remove implants and scar tissue, and this may reduce pain and aid fertility.

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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. A needle biopsy of the testicle can show whether a man is making healthy sperm. The patency of the fallopian tubes can also be checked. Corticosteroids (usually found in anti-inflammatory drugs) can be used to treat anovulation if it is caused by an overproduction of male hormones by the adrenal glands. A Series of Monozygotic Twins Discordant for Ovarian Failure: Ovary Transplantation (Cortical versus Microvascular) and Crypreservation. (PDF, 791 KB) Human Reproduction, 2008. GIFT (gamete intrafallopian tube transfer) and ZIFT (zygote intrafallopian transfer).  Like IVF, these procedures involve retrieving an egg, combining it with sperm in a lab, and then transferring it back to your body. 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. This can be done by a urine test, basal body temperature chart, progesterone test and/or endometrial biopsy. The surgeon can remove implants and scar tissue, and this may reduce pain and aid fertility. They can also carry out some basic tests on both partners to see if there is an identifiable reason for not having achieved a pregnancy.


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