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Demographic definitions of infertility An inability of those of reproductive age (15-49 years) to become or remain pregnant within five years of exposure to pregnancy. (DHS2) An inability to become pregnant with a live birth, within five years of exposure based upon a consistent union status, lack of contraceptive use, non-lactating and maintaining a desire for a child. (Trends in prevalence4). Oligozoospermia refers to a low sperm count under 20 million per milliliter. These include: Infrequent menstrual periods: When a woman has regular menstrual periods, defined as regular cycles occurring every 21 to 35 days, this almost always indicates that she ovulates regularly.

Close Diagnosing Sterility If you and your partner have been trying for more than a year to become pregnant, or both of you are over thirty and battling, it is good idea consult your gynecologist, obstetrician or urologist for further investigation. Submucosal fibroids: Benign or non-cancerous tumors occur in the muscular wall of the uterus. Lack of ovulation Patients with anovulation who did not ovulate after several cycles of CC at different doses of treatment are deemed clomiphene resistant.

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Sexually transmitted infections (STIs): Chlamydia can damage the fallopian tubes in a woman and cause inflammation in a man's scrotum. A sperm count of under 15 million is considered low. A Modern Approach to Male Infertility. (PDF, 2 MB) Serono Symposia, Insights Into Infertility Newsletter, 1997.

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The acrosome should be 40-70% of the size of the head, and no mid piece or tail abnormalities should be present. National Collaborating Centre for Women's and Children's Health. There are treatments that are specifically for men or for women. The laboratory evaluation begins with a semen analysis.

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The impact of fibroids located elsewhere in the uterus are controversial and do not always require surgery. Illegal drugs: Some women who use marijuana or cocaine may have fertility problems. If natural selection is the primary error correction mechanism that prevents random mutations on the Y chromosome, then fertility treatments for men with abnormal sperm (in particular ICSI) only defer the underlying problem to the next male generation. The pituitary gland is controlled by the hypothalamus. Medical management: - Ovarian suppression of minimal and mild endometriosis diagnosed as the cause of infertility in women does not enhance fertility and should not be offered. Infertility rates have increased by 4% since the 1980s, mostly from problems with fecundity due to an increase in age.[72] Fertility problems affect one in seven couples in the UK. Fallopian tubes that are patent and will function to permit the sperm and ovum to meet and allow migration of the conceptus to the uterus. 10 Data Sources: A PubMed search was completed using the key terms infertility, subfertility, treatment, etiology, and diagnosis. Unfortunately, clinical examinations, ultrasounds and analyses rarely indicate the reason for the problem and, as such, medical or surgical treatment is infrequent.