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It is often defined as not conceiving after 12 months of regular sexual intercourse without the use of birth control. The Treatment of Azoospermia with Surgery and ICSI. (PDF, 4 MB) Chapter 10 from Male Fertility & Infertility, 1998. Results of Microsurgical Vasoepididymostomy: Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Human Reproduction, 1989.

In another third of cases, it is because of the man. The use of Epididymal and Testicular Spermatozoa for Intracytoplasmic Sperm Injection: The Genetic Implications for Male Infertility. (PDF, 8 MB) Human Reproduction, 1995.

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However, there are various scenarios where one may be advised to seek help earlier. Egg donation. This can help you if you have ovaries that don't work right but you have a normal uterus. Other causes may include: Genetic factors: A man should have an X and Y chromosome. World Health Organization[edit] The World Health Organization defines infertility as follows:[10] United States[edit] One definition of infertility that is frequently used in the United States by reproductive endocrinologists, doctors who specialize in infertility, to consider a couple eligible for treatment is: a woman under 35 has not conceived after 12 months of contraceptive-free intercourse. Preconception lifestyle advice for people with subfertility. Ultrastructure of Human Sperm in Men with Congenital Absence of the Vas Deferens: Clinical Implications. (PDF, 2 MB) Fertility and Sterility, 1992.

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Thyroid problems: An overactive or underactive thyroid gland can lead to a hormonal imbalance. This can help a man who cannot ejaculate normally, for example, because of a spinal cord injury.

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Primary vs. secondary infertility[edit] Primary infertility is defined as the absence of a live birth for women who desire a child and have been in a union for at least 12 months, during which they have not used any contraceptives.[14] The World Health Organisation also adds that 'women whose pregnancy spontaneously miscarries, or whose pregnancy results in a still born child, without ever having had a live birth would present with primarily infertility'.[15] Secondary infertility is defined as the absence of a live birth for women who desire a child and have been in a union for at least 12 months since their last live birth, during which they did not use any contraceptives.[15] Thus the distinguishing feature is whether or not the couple have ever had a pregnancy which led to a live birth. Histologic endometrial dating is not considered reliable nor is it predictive of fertility. You take gonadotropins that trigger the development of more than one egg. Programming of Ovarian Stimulation with Norethindrone Acetate in IVF/GIFT Cycles. (PDF, 2 MB) Human Reproduction, 1989. Infertility Tests History and physical examination – First and foremost, your fertility physician will take a very thorough medical and fertility history. Modifiable and non-modifiable risk factors for poor semen quality: a case-referent study. Fibroids should be treated if they are associated with abnormal uterine bleeding or if they are thought to be the cause of infertility. Diagnosis Most people will visit a physician if there is no pregnancy after 12 months of trying. In-vitro fertilization (IVF): Sperm are placed with unfertilized eggs in a petri dish, where fertilization can take place. Simultaneous Treatment of the Wife in Infertile Couples with Oligospermia. (PDF, 4 MB) Fertility and Sterility, 1983.