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Evaluation may be initiated sooner in patients who have risk factors for infertility or if the female partner is older than 35 years. Success rates reported by various practices that offer ICSI range from 15% to 30% per egg retrieval. Ejaculatory Duct Obstruction. (PDF, 3 MB) The Journal of Urology, 1980. Once confirmed, the male partner is referred to a reproductive urologist, especially if the abnormality is severe. 389 KB ARTICLES FROM THE 1980s Microsurgical Reversal of Female Sterilization: The Role of Tubal Length. (PDF, 2 MB) Fertility and Sterility, 1980.

Long-term Economic Benefits Attributed to IVF-conceived Children: A Lifetime Tax Calculation. (PDF, 225 KB) The American Journal of Managed Care, 2008. For unknown reasons, as women age, egg numbers decrease at a rapid rate.

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Moderate alcohol consumption has not been shown to lower fertility in most men, but it may affect those who already have a low sperm count. Reversal of Vasectomy and the Treatment of Male Infertility. (PDF, 4 MB) Journal of Andrology, 1980. Chronic conditions: These include AIDS or cancer. 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. Endometriosis causes infertility by producing inflammation and scarring, which can result in not only pain but also potentially detrimental effects on egg, sperm or embryo. Problems with sperm If a man makes too few sperm or none at all, the woman cannot become pregnant.

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Some methods may be used in concert with other methods. For hysterosalpingography, water-soluble contrast material is supplied into the cavum uteri. Metformin (Glucophage): If Clomifene is not effective, metformin may help women with PCOS, especially when linked to insulin resistance. Obese women have a higher rate of recurrent, early miscarriage compared to non-obese women.

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For a woman to conceive, certain things have to happen: vaginal intercourse must take place around the time when an egg is released from her ovary; the system that produces eggs has to be working at optimum levels; and her hormones must be balanced.[54] For women, problems with fertilisation arise mainly from either structural problems in the Fallopian tube or uterus or problems releasing eggs. Reduced secretion of cervical mucus due to destruction of the endocervical glands by previous cervical conization, freezing, or laser vaporization responds poorly to low-dose estrogen therapy. Endometriosis Endometriosis is when the tissue of the uterine lining grows outside of the uterus. Possible reasons for abnormal semen include: a lack of sperm – you may have a very low sperm count or no sperm at all sperm that aren't moving properly – this will make it harder for sperm to swim to the egg abnormal sperm – sperm can sometimes be an abnormal shape, making it harder for them to move and fertilise an egg Many cases of abnormal semen are unexplained. Gerrits T, Shaw M (2010). "Biomedical infertility care in sub-Saharan Africa: a social science review of current practices, experiences and view points". To avoid this complication, the circulating nurse must record the amount of distention fluid injected and the amount recovered in the suction device. Histologic endometrial dating is not considered reliable nor is it predictive of fertility. Evaluating the Infertile Male – Part 1. (PDF, 5 MB) Contemporary OB/GYN, 2004. Disorders of sexual differentiation result in infertility (eg, hermaphroditism, pseudohermaphroditism).