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Smoking: Smoking significantly increases the risk of infertility in both men and women, and it may undermine the effects of fertility treatment. Smoking: Smoking significantly increases the risk of infertility in both men and women, and it may undermine the effects of fertility treatment. Most couples (about 84%) who have regular sexual intercourse (that is, every two to three days) and who do not use contraception get pregnant within a year. Lifetime prevalence of infertility and infertility treatment in the UK: results from a population-based survey of reproduction. IVF treatment may be suggested if IUI is not successful or appropriate, or if female infertility is a contributing problem. For example; a woman who has no history suggestive of previous pelvic inflammatory disease or endometriosis, there is no justification to request a laparoscopy especially after normal hysterosalpingography study [33].

This can be made laparoscopically as well as sonographically. Diet: A lack of folic acid, iron, zinc, and vitamin B-12 can affect fertility. For example, a woman who has a 33-day cycle one month, a 31-day cycle the next, and a 35-day cycle after that, is probably having “normal” periods. Factors contributing to the formation of antisperm antibodies in women are disturbance of normal immunoregulatory mechanisms, infection, violation of the integrity of the mucous membranes, rape and unprotected oral or anal sex.

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Additionally, there is concern that the stress of a strict schedule for intercourse may lead to reduced frequency of intercourse. Causes of Female Infertility (Continued) Other causes of female infertility include: Local factors in the uterus and cervix, including uterine septum, uterine fibroids and endometriosis. The mammary glands are also controlled by the pituitary gland, so lactation can also be affected.

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Group I: hypothalamic pituitary failure (hypothalamic amenorrhoea or hypogonadotrophic hypogonadism). ICSI offers a high pregnancy rate and 70—80 % of eggs are fertilized through this technique. Adverse effects of metformin include GI intolerance, nausea, vomiting, and abdominal cramps. Infertility is due to hypogonadotropic hypogonadism.

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A high serum estradiol level (greater than 60 to 80 pg per mL [220 to 294 pmol per L]) in conjunction with a normal FSH level has also been associated with lower pregnancy rates. Sperm are then collected, washed, and added to the eggs in the dish. If the correction is not done, it may be harder for the sperm to get to the female's cervix. Factors Affecting Fertility: Timing of Intercourse Intercourse prior to ovulation is key to maximizing the chance of pregnancy. 10. Carried out by the GPs and should be offered to: 1. A low testosterone level with a low FSH level signals a secondary cause. When Predictions Don’t Predict. (PDF, 549 KB) The Australian and New Zealand Journal of Obstetrics and Gynaecology, 1991.