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In this case synthetic FSH by injection or Clomid (Clomiphene citrate) via a pill can be given to stimulate follicles to mature in the ovaries. Bhaskar Dutta/Photoshare Clinical definitions Infertility is “a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse.”… (WHO-ICMART glossary1). “Infertility is the inability of a sexually active, non-contracepting couple to achieve pregnancy in one year. Varicoceles are generally asymptomatic, and most men with varicoceles do not have infertility or testicular atrophy. Unexplained infertility[edit] In the US, up to 20% of infertile couples have unexplained infertility.[61] In these cases abnormalities are likely to be present but not detected by current methods. Quantitative Analysis of Testicle Biopsy: Determination of Partial Obstruction and Prediction of Sperm Count after Surgery for Obstruction. (PDF, 4 MB) Fertility and Sterility, 1981.

Microscopic Vasovasostomy and Spermatogenesis. (PDF, 1 MB) The Journal of Urology, 1977. Other causes may include: Genetic factors: A man should have an X and Y chromosome. Eating disorders such as anorexia nervosa are also associated with extremely low BMI. Painful or heavy periods Most women experience cramps with their periods. Normal immunologic responses to accommodate sperm and conceptus.

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Polycystic ovary syndrome (PCOS): The ovaries function abnormally and ovulation may not occur. Hyperprolactinemia: If prolactin levels are high, and the woman is not pregnant or breastfeeding, it may affect ovulation and fertility. If you and your partner agree, extra embryos can be frozen and saved to use later. Vasectomy. (PDF, 5 MB) From the Encyclopedia of Reproduction, 1999. A luteal phase defect results in low production of the hormone progesterone, which is necessary for maintaining a pregnancy.

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Some causes, such as hyperprolactinemia, are reversible with proper treatment. Microscopic Vasectomy Reversal. (PDF, 31 MB) Fertility and Sterility, 1977.

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Microsurgical Aspects of Varicocele. (PDF, 9 MB) Fertility and Sterility, 1979. Normal immunologic responses to accommodate sperm and conceptus. Clinical examinations start with ovarian causes of sterility. Any condition that interferes with these events may result in infertility. One of the best known is the HFEA – The UK's regulator for fertility treatment and embryo research. 41 Treatment of Unexplained Infertility Jump to section + Couples who have no identified cause of infertility should be counseled on timing of intercourse for the most fertile period (i.e., the six days preceding ovulation). In fact, nearly 1 in 10 people struggle with infertility. In other cases, the cause is suspected to be immunological or genetic; it may be that each partner is independently fertile but the couple cannot conceive together without assistance.