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If the sperm are of good quality and the mechanics of the woman's reproductive structures are good (patent fallopian tubes, no adhesions or scarring), a course of ovulation induction maybe used. In some cases, your doctor may recommend a procedure known as intracytoplasmic sperm injection (ICSI).

Most couples (approximately 85%) will achieve pregnancy within one year of trying, with the greatest likelihood of conception occurring during the earlier months. The ovum has a much shorter life expectancy – less than 1 day if it is not fertilized. Excess alcohol consumption: This may lower male fertility.

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6,23 Anovulatory women should have further investigation to determine treatable causes such as thyroid disorders or hyperprolactinemia based on symptoms. 22 Treatment of Male Infertility Jump to section + Underlying etiology determines the therapeutic course, although male infertility is unexplained in 40% to 50% of cases. However, there are side effects to using fertility drugs, such as ovarian hyperstimulation or the increased chance of developing ovarian tumors.  Surgical procedures: These surgeries correct abnormalities or blockages in the uterus and fallopian tubes. Ovulation-inducing drugs and ovarian cancer risk: results from an extended follow-up of a large United States infertility cohort. Prolonged diestrus can result from luteal cysts in the ovary.

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Malformations are the primary organic causes of sterility. If a woman has an ovulation disorder, she may ovulate infrequently or not all. Outlook For couples who experience fertility problems and those who wish to have children at an older age, there are more options available than ever before.

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Sperm Retrieval for Azoospermia and Intracytoplasmic Sperm Injection Success Rates – A Personal Overview.(PDF, 1 MB) Human Fertility, 2010. A relationship also exists between obesity and erectile dysfunction (ED). 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. Additional risk factors may include smoking, alcohol use, obesity, and older age; however, the data are hampered by a lack of pregnancy-related outcomes. Broekmans FJ, Kwee J, Hendriks DJ, Mol BW, Lambalk CB. Normal immunologic responses to accommodate sperm and conceptus. The acrosome should be 40-70% of the size of the head, and no mid piece or tail abnormalities should be present. Ovulation often can be detected by keeping a menstrual calendar or using an ovulation predictor kit.