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World Health Organization[edit] The World Health Organization defines infertility as follows:[10] United States[edit] One definition of infertility that is frequently used in the United States by reproductive endocrinologists, doctors who specialize in infertility, to consider a couple eligible for treatment is: a woman under 35 has not conceived after 12 months of contraceptive-free intercourse. As a result, infertility has come to be defined as the inability to conceive within 12 months. Embryos transfer is performed in the office under abdominal ultrasound guidance using a small, soft, sterile and flexible catheter. Couples may decide to go ahead regardless if the desire to become pregnant is very strong.

You take gonadotropins that trigger the development of more than one egg. Additionally, the quality of her eggs also decreases increases the chance of chromosomal abnormalities.

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After in vitro fertilization, your doctor transfers the fertilized eggs into your uterus.Causes of Infertility A problem in any one of a number of key processes can result in infertility. As they respond to hormones the same way as they would do in the uterus, that is by growing and shedding cyclically, endometriosis can cause both fallopian tube and ovarian scarring.

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Genital duct obstruction is a potentially curable cause of infertility and is observed in 7% of infertile patients. Sulfasalazine: This anti-inflammatory drug can significantly lower a man's sperm count. Requirements for Female Fertility (Continued) Other requirements for female fertility include: Adequate sexual drive and sexual function to permit coitus.

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The pituitary gland produces these hormones, so any problems with this gland may also influence infertility. The fertilized egg is then placed back into the uterus. Semen analysis: A sample may be taken to test for sperm concentration, motility, color, quality, any infections, and whether any blood is present. 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. M. genitalium infection is associated with increased risk of infertility.[25][26] Genetic[edit] A Robertsonian translocation in either partner may cause recurrent spontaneous abortions or complete infertility.[citation needed] Mutations to NR5A1 gene encoding Steroidogenic Factor-1 (SF-1) have been found in a small subset of men with non-obstructive male factor infertility where the cause is unknown. If it stays in there, complications can develop, such as the rupture of the fallopian tube. Semm established several standard procedures that were regularly performed, such as ovarian cyst enucleation, myomectomy, treatment of ectopic pregnancy and finally laparoscopic-assisted vaginal hysterectomy (nowadays termed as cervical intra-fascial Semm hysterectomy). Infertility treatment  Current problems with conception won’t necessarily stop you from starting a family in the future. No Differences in Outcome after Intracytoplasmic Sperm Injection with Fresh or with Frozen-thawed Epididymal Spermatozoa. (PDF, 66 KB) Human Reproduction, 1999. This leads to increased androgen secretion from the adrenal gland, causing feedback inhibition of GnRH release from the hypothalamus. This results in normal or enhanced follicular recruitment without the risk of multiple ovulation and ovarian hyperstimulation syndrome. If a blockage is present, surgery may be necessary. If stem cells remain viable after radiation therapy, patients may regain fertility within several years.


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