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View Media Gallery FSH and LH, glycopeptides with a molecular weight of 10,000 Daltons, are each composed of an alpha chain that is identical to that of human chorionic gonadotropin (hCG) and thyroid-stimulating hormone (TSH), but with a beta chain that is unique for each. If you’ve been diagnosed with infertility, or fear you may have trouble conceiving in the future, you’re not alone.

The administration of hMG and its derivatives should be under the direct supervision of a reproductive endocrinologist. 37 Clomiphene has also proven effective for ovulation induction in women with polycystic ovary syndrome.

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These time intervals would seem to be reversed; this is an area where public policy trumps science. Alcohol: Any amount of alcohol consumption can affect the chances of conceiving. For women aged 35, about 94% who have regular unprotected sexual intercourse get pregnant after three years of trying. Low weight: Obesity is not the only way in which weight can impact fertility. A sperm count of under 15 million is considered low.

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Its use is controversial in patients with a history of breast cancer. Twelve months is the lower reference limit for Time to Pregnancy (TTP) by the World Health Organization.[7] a woman over 35 has not conceived after six months of contraceptive-free sexual intercourse. Ovulation disorders appear to be the most common cause of infertility in women. Extra Renal Function in Patients with Duplication Anomaly: Obligatory and Compensatory Renal Growth. (PDF, 1 MB) The Journal of Urology, 1974.

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50% are female causes with 25% being due to anovulation and 25% tubal problems/other.[74] In Sweden, approximately 10% of couples wanting children are infertile.[75] In approximately one third of these cases the man is the factor, in one third the woman is the factor, and in the remaining third the infertility is a product of factors on both parts. Assisted conception The following methods are currently available for assisted conception. 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. No Differences in Outcome after Intracytoplasmic Sperm Injection with Fresh or with Frozen-thawed Epididymal Spermatozoa. (PDF, 66 KB) Human Reproduction, 1999. Hyperprolactinemia: If prolactin levels are high, and the woman is not pregnant or breastfeeding, it may affect ovulation and fertility. Medications, treatments, and drugs Some drugs can affect fertility in a woman. The likelihood of fertilization improves significantly for men with low sperm concentrations. In GIFT, the sperm and eggs are mixed together before a doctor inserts them. About 25% of all infertility is caused by an ovulation disorder. Fertilizing Capacity of Epididymal and Testicular Sperm with ICSI. (PDF, 5 MB) Frontiers in Endocrinology, 1995. Unexplained fertility affects about 10 percent of couples worldwide. Outlook For couples who experience fertility problems and those who wish to have children at an older age, there are more options available than ever before.