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Medical conditions Some medical conditions can affect fertility. Insulin-sensitising drugs (metformin, rosiglitazone, pioglitazone, D-chiro-inositol) for women with polycystic ovary syndrome, oligo amenorrhoea and subfertility.

The quality of the cervical mucus can be improved with the administration of a small dose of estrogens, or the problem can be bypassed by intrauterine insemination. [163, 209] If the follicle is smaller than 23-24 mm at the time of ovulation, a better size can be obtained by starting the CC therapy on the menstrual cycle day 2. Listen to Professor Cheong talk about the fertility investigations we offer       Repeated pregnancy loss Some people may not have difficulty conceiving, but have suffered from miscarriages.

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Although the sperm count may be slightly decreased by an intercourse frequency of once per day or once every other day, the motility and number of sperm in the healthy male would be sufficient to achieve pregnancy. Semen analysis: A sample may be taken to test for sperm concentration, motility, color, quality, any infections, and whether any blood is present.

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Orchitis The most common cause of acquired testicular failure in adults is viral orchitis, such as that caused by the mumps virus, echovirus, or group B arbovirus. Only an additional 7% of couples will conceive in the second year. In such cases, the vas deferens connecting the testicle and prostate is not formed. Sign up for the free AFP email table of contents.Infertility definitions and terminology A couple sits at the bank of a lake in Ahmedabad, India.

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The pregnancy rate fluctuates from 20-35%, and the expected ectopic pregnancy rate is as high as 20%. That means they have abnormal or low sperm counts for no identifiable reason. Other factors that can affect a woman's chances of conceiving include being overweight or underweight,[56] or her age as female fertility declines after the age of 30.[57] Sometimes it can be a combination of factors, and sometimes a clear cause is never established. If the urinary output remains low, albumin 25% (50 mL/h IV for 4 h) has been effective in promoting diuresis. Hjollund NH, Storgaard L, Ernst E, Bonde JP, Olsen J. Ovulation of the egg occurs approximately 2 weeks before the start of the next period. If the egg does not travel, it can be harder to conceive naturally. 1 Among couples 15 to 44 years of age, nearly 7 million have used infertility services at some point. Causes include: Surgery: Pelvic surgery can sometimes cause scarring or damage to the fallopian tubes. Unexplained infertility is not the same thing as having no explanation, but rather reflects the fact that the tests performed have been normal.