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Malformations are the primary organic causes of sterility. Coping mentally It is impossible to know how long treatment will go on for and how successful it will be. American Urological Association Education and Research, Inc. Epidemiological definition of infertility (for monitoring and surveillance) Women of reproductive age (15–49 years) at risk of becoming pregnant (not pregnant, sexually active, not using contraception and not lactating) who report trying unsuccessfully for a pregnancy for two years or more. (Reproductive Health Indicators) Infertility as a disability Disability: Infertility generates disability (an impairment of function), and thus access to health care falls under the Convention on the Rights of Persons with Disability. In collaboration with partners, CDC developed the National Public Health Action Plan for the Detection, Prevention, and Management of Infertility, which identifies opportunities to prevent and reduce infertility and improve outcomes for couples undergoing fertility treatment.

IUI is more commonly done when the man has a low sperm count, decreased sperm motility, or when infertility does not have an identifiable cause. Often, but not always, submucosal fibroids can cause heavy periods, or bleeding between periods. A doctor injects sperm directly into the egg in a dish and then places it into your uterus. Immediate surgery is needed and, sadly, the tube on that side will be lost. Fertility Evaluation: General and Sexual History A detailed history includes: General history  This includes occupation and background, use of tobacco, alcohol and drugs, earlier diseases, history of abdominal surgery and earlier infections. Microscopic Vasectomy Reversal 30 Years Later: A Summary of 4010 Cases by the Same Surgeon. (PDF, 295 KB)Journal of Andrology, 2004.

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A smaller amount may suggest a structural or hormonal problem leading to deficient semen production; 2) sperm concentration – normal concentration should be at least 20 million sperm per 1 ml of semen. Retrograde ejaculation: Sperm can be taken directly from the bladder and injected into an egg in the laboratory. However, intercourse 3 times a week results in a probability of conception around 50% within 6 months. The rising number of obese individuals may be due in part to an energy-rich diet as well as insufficient physical exercise.  In addition to other potential health risks, obesity can have a significant impact on male and female fertility.

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Prozac and other SSRIs, Propecia).  Luckily, many treatment options exist for ED depending on the cause--these will be discussed in the treatment section. It's used to remove polyps and fibroid tumors, divide scar tissue, and open up blocked tubes.

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WHO categorizes ovulatory disorders into three groups: group I is caused by hypothalamic pituitary failure (10%), group II results from dysfunction of hypothalamic-pituitary-ovarian axis (85%), and group III is caused by ovarian failure (5%). Live Birth Following Day Surgery Reversal of Female Sterilisation in Women Older then 40 Year: A Realistic Option in Australia? (PDF, 156 KB) Medical Journal of Australia, 2007. It is in fact possible to restore ovulation using appropriate medication, and ovulation is successfully restored in approximately 90% of cases. A low testosterone level with a low FSH level signals a secondary cause. Counseling about options should be offered to couples who are not physically able to conceive (i.e., same-sex couples or persons lacking reproductive organs). We generally recommend seeking the help of a reproductive endocrinologist if conception has not occurred within 12 months. They include: Clomifene (Clomid, Serophene): This encourages ovulation in those who ovulate either irregularly or not at all, because of PCOS or another disorder.


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