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Other factors that can affect a woman's chances of conceiving include being overweight or underweight,[56] or her age as female fertility declines after the age of 30.[57] Sometimes it can be a combination of factors, and sometimes a clear cause is never established. It is not mandatory to apply the recommendations, and the guideline does not override the responsibility to make decisions appropriate to the circumstances of the individual, in consultation with them and their families and carers or guardian.  All problems (adverse events) related to a medicine or medical device used for treatment or in a procedure should be reported to the Medicines and Healthcare products Regulatory Agency using the Yellow Card Scheme.

A woman of reproductive age who has not conceived after 1 year of unprotected vaginal sexual intercourse, in the absence of any known cause of infertility. The corollary to this is that, by definition, failure to conceive in women under 35 isn't regarded with the same urgency as it is in those over 35.

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They can also carry out some basic tests on both partners to see if there is an identifiable reason for not having achieved a pregnancy. Outside pregnancy and lactation, women with high levels of prolactin may have irregular ovulation cycles and fertility problems. 17 Evaluation of male infertility starts with a history and physical examination focusing on previous fertility, pelvic or inguinal surgeries, systemic diseases, and exposures.

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A Family of Human Y Chromosomes has Dispersed Throughout Northern Eurasia Despite a 1. Chronic conditions: These include AIDS or cancer. Requirements for Female Fertility (Continued) Other requirements for female fertility include: Adequate sexual drive and sexual function to permit coitus.

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Women with anovulation may be treated in the primary care setting with clomiphene to induce ovulation. In order to conceive, your sperm must be:  Highly concentrated — normally, there should be at least 15 million sperm in every ml of semen5  Moving well (motile) — a lashing tail helps your sperm to swim to your partner’s egg  Normally shaped — healthy sperm should be shaped like a streamlined tadpole  You may find that your semen contains a very low number of sperm (oligozoospermia), or no sperm at all (azoospermia). Testosterone and multiple hormones made in the brain control sperm production. Lead, toxic fumes and exposure to pesticides are suspected contributors to infertility. Basal body temperatures are no longer considered a reliable indicator of ovulation, and are not recommended for evaluating ovulation. One third of the time, it is a problem with the woman. Patients may achieve normal virilization and adult phenotype by the administration of exogenous testosterone, but they are infertile. Using this small amount of FSH, the patient generally develops 1-2 follicles, decreasing the risk for multiple pregnancy and eliminating the risk of ovarian hyperstimulation syndrome. In vitro fertilization (IVF). In this technique, your doctor places into your uterus that were fertilized in a dish.