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Epidemiology[edit] Prevalence of infertility varies depending on the definition, i.e. on the time span involved in the failure to conceive. Ovulation disorders can be due to: Premature ovarian failure: The ovaries stop working before the age of 40 years. If conservative medical treatments fail to achieve a full term pregnancy, the physician or WHNP may suggest the patient undergo in vitro fertilization (IVF). In some patients, secondary sex characteristics develop normally, but they are usually completed late.

Polyps and submucous fibroids can be removed during this procedure. Treatment of the cause: Male Factor: (Liaise with the andrologist) 1.

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8 Intrauterine insemination and ovulation induction do not result in increased pregnancy rates in women with unexplained infertility. Exposure to chemicals: Pesticides, for example, may increase the risk. In another third of cases, it is because of the man. Potential causes are unknown, but it may be related to infection, vascular disease, or bilateral testicular torsion.

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It does not affect the couples' life only, but it also affects the healthcare services and social environment [4]. Fibroids Non-cancerous growths called fibroids in or around the womb can affect fertility. A woman with a suspicion of chronic anovulation most probably due to polycystic ovary (PCO) syndrome, as there is a long history of irregular cycles and clinical presentation with hirsutism, her serum levels of testosterone hormone, sex hormone binding globulin (SHBG), dihydroepiandrostenedione (DHEA), dihydroepiandrostenedione-sulfate (DHEAS) and prolactin should be evaluated to prove the provisional diagnosis and to detect the source of excess androgens. Up to 25% of infertile men have idiopathic infertility. A sperm analysis can be done to check a man's sperm count and the overall health of the sperm.Infertility is the inability of a person, animal or plant to reproduce by natural means.

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You can be a working couple, a working mother or father, a stay at home parent or retired. It is often defined as not conceiving after 12 months of regular sexual intercourse without the use of birth control. Clark AM, Thornley B, Tomlinson L, Galletley C, Norman RJ. Endometriosis can be treated with hormones that suppress the displaced endometrial tissue or the tissue can be removed by a surgical procedure. Gerrits T, Shaw M (2010). "Biomedical infertility care in sub-Saharan Africa: a social science review of current practices, experiences and view points". There is more controversy regarding intramural fibroids, where larger ones may have an impact and may necessitate removal. Your physician will refer you to a reproductive urologist if appropriate. The predictive value of hysterosalpingography for tubal and peritoneal infertility factors. The dynamics of stress in fertile and infertile couples. Ectopic pregnancy This is when a fertilized egg implants outside the womb, usually in a fallopian tube.