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It will take time until these studies can be available for clinics and patients as a regularity. Vitrification of oocytes from endangered Mexican gray wolves (Canis lupus baileyi). (PDF, 319 KB) Theriogenology, 2010. The laboratory evaluation begins with a semen analysis.

Symptoms If a couple doesn't get pregnant after a year of unprotected intercourse, both the man and woman should be evaluated. The pregnancy rate fluctuates from 20-35%, and the expected ectopic pregnancy rate is as high as 20%. Couples who do not conceive after treatment for six cycles with documented ovulation should also consider referral to an infertility specialist. Successful Autotransplantation of an Intra-abdominal Testis to the Scrotum by Microvascular Technique. (PDF, 11 MB) The Journal of Urology, 1976. These endometrial cells can extend as far as the outside of the fallopian tubes, the ovaries and the bladder. Anovulation can also cause cessation of periods (secondary amenorrhea) or excessive bleeding (dysfunctional uterine bleeding).

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Celiac disease A digestive disorder caused by sensitivity to gluten, celiac disease can cause male infertility. After ruling out female infertility concerns, tests for male infertility may be needed.

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Radiation therapy: This can impair sperm production. Often, but not always, submucosal fibroids can cause heavy periods, or bleeding between periods. Outside pregnancy and lactation, women with high levels of prolactin may have irregular ovulation cycles and fertility problems.

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A woman of reproductive age who is using artificial insemination to conceive (with either partner or donor sperm) after 6 failed trials. Consider earlier referral to infertility specialists where: - the woman is aged 36 years or over. - there is a known clinical cause of infertility or a history of predisposing factors for infertility. - treatment is planned that may result in infertility (such as treatment for cancer). - People who are concerned about their fertility and who are known to have chronic viral infections such as hepatitis B, hepatitis C or HIV. Demographic definitions of infertility An inability of those of reproductive age (15-49 years) to become or remain pregnant within five years of exposure to pregnancy. (DHS2) An inability to become pregnant with a live birth, within five years of exposure based upon a consistent union status, lack of contraceptive use, non-lactating and maintaining a desire for a child. (Trends in prevalence4). In closed social groups, a degree of rejection (or a sense of being rejected by the couple) may cause considerable anxiety and disappointment. This can be done by a urine test, basal body temperature chart, progesterone test and/or endometrial biopsy. Sperm retrieval for azoospermia and intracytoplasmic sperm injection success rates – A personal overview. (PDF, 1 MB) Human Fertility, 2010. 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. Once confirmed, the male partner is referred to a reproductive urologist, especially if the abnormality is severe. Evaluation of cervical mucus is unreliable; therefore, investigation is not helpful with the management of infertility.