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There are many factors that may be causing your fertility difficulties. PPT Presentation Summary : Evaluation of Fertility: A Cornerstone to Improved Reproductive Health for Women Overview.

Fertilization: the process that takes place in the fallopian tube, when sperm unites with the egg. IUI is more commonly done when the man has a low sperm count, decreased sperm motility, or when infertility does not have an identifiable cause. Many health conditions can make it hard to get pregnant. Signs of infertility include irregular, excessively heavy, or absent periods as well as sudden weight gain, painful sex, or vaginal infections. This leads to the final maturation and release of the egg. Classic Klinefelter syndrome has a 47, XXY karyotype and is caused by a nondisjunction during the first meiotic division, more commonly of maternal origin; mosaic forms are due to nondisjunction following fertilization.

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Problems in the uterus or fallopian tubes can prevent the egg from traveling from the ovary to the uterus, or womb. For unknown reasons, as women age, egg numbers decrease at a rapid rate. An Azoospermic Man with a do novo Point Mutation in the Y-chromosome Gene USP9Y. (PDF, 381 KB) Nature Genetics, 1999. Prostatitis can be subclinical or contribute to subfertility and infertility in dogs. Contents Definition[edit] "Demographers tend to define infertility as childlessness in a population of women of reproductive age," whereas "the epidemiological definition refers to "trying for" or "time to" a pregnancy, generally in a population of women exposed to" a probability of conception.[8] Currently, female fertility normally peaks at age 24 and diminishes after 30, with pregnancy occurring rarely after age 50.[9] A female is most fertile within 24 hours of ovulation.[9] Male fertility peaks usually at age 25 and declines after age 40.[9] The time needed to pass (during which the couple tries to conceive) for that couple to be diagnosed with infertility differs between different jurisdictions.

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This allows for the diagnosis and treatment of conditions such as endometriosis with one procedure. Mumps: If this occurs after puberty, inflammation of the testicles may affect sperm production. The hypothalamus acts on the false information that the estrogen level in circulation is low, increasing production of FSH and LH, thus stimulating follicular growth. For some women, these devices do not detect the LH surge, or high levels of LH are a poor predictor of ovulation; this is particularly common in women with PCOS. Therefore, data estimating the prevalence of infertility cited by various sources differs significantly.[8] A couple that tries unsuccessfully to have a child after a certain period of time (often a short period, but definitions vary) is sometimes said to be subfertile, meaning less fertile than a typical couple.

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Normal Intrauterine Pregnancy After Reversal of Tubal Sterilization in the Wife and Vasectomy in the Husband.(PDF, 1 MB) Fertility and Sterility, 1978. Successful Autotransplantation of an Intra-abdominal Testis to the Scrotum by Microvascular Technique. (PDF, 11 MB) The Journal of Urology, 1976. Living with male infertility When Steve S. of Joliet, Illinois was diagnosed with male infertility, he felt profound disappointment. 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. Often, in vitro fertilization (IVF) can reveal abnormalities in egg quality, sperm function, or embryo development that would not have been determined from standard testing. These factors may interfere with embryo implantation and a woman’s ability to carry pregnancy to term. 42 However, none of these methods has been proven to increase pregnancy rates when used to predict timing of intercourse. The Jones metroplasty consists of resecting the septum using an anteroposterior wedge incision and closing the defect in the same direction (see the images below). [117, 118, 119] Infertility.