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Out of this group, the following statistics on the cause of infertility generally apply: One-third of couples will discover fertility problems in only the man. Thyroid problems: An overactive or underactive thyroid gland can lead to a hormonal imbalance.

Studies show that the IUI is most successful when it is coupled with fertility drugs to enhance ovulation, with success rates between 5% and 20% per cycle. Continued First, sperm are collected either from ejaculated semen or by a needle from the testicle.

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They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. For patients with a history of endometriosis, pelvic infections, or ectopic pregnancy, evaluation with hysteroscopy or laparoscopy is recommended. Endometriosis may be treated through laparoscopic surgery. Pregnancy after Vasovasostomy for Vasectomy Reversal: A Study of Factors Followed for 10 Years. (PDF, 3 MB)Human Reproduction, 1989. In closed social groups, a degree of rejection (or a sense of being rejected by the couple) may cause considerable anxiety and disappointment.

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Afterward, laparoscopy gained rapidly acceptance for non-gynecologic applications. But painful periods that interfere with your daily life may be a symptom of endometriosis. Earn up to 6 CME credits per issue.     To see the full article, log in or purchase access. Worldwide, 8 to 12 percent of couples experience fertility problems. Surgical treatment Surgical treatment should be directed at destroying the disease using electrocoagulation, laser vaporization, endocoagulation, or excision. [84] Removal of endometriomas and lysis of adhesions complete the treatment.

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For women aged 35, about 94% who have regular unprotected sexual intercourse get pregnant after three years of trying. Hence the ability to conceive a normal pregnancy decreases from when a woman is in her early 30s into her 40s. Secondary infertility When a woman is unable to bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth following either a previous pregnancy or a previous ability to carry a pregnancy to a live birth, she would be classified as having secondary infertility. Semen that is not initially a coagulum is often an indication of an ejaculatory duct obstruction or the absence of seminal vesicles. 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. Listen to Professor Cheong talk about the fertility investigations we offer       Repeated pregnancy loss Some people may not have difficulty conceiving, but have suffered from miscarriages. This can reveal signs of endometriosis, scarring, blockages, and some irregularities of the uterus and fallopian tubes. Intra-uterine insemination for unexplained subfertility. Hysterosalpingography: Fluid is injected into the woman's uterus and X-rays are taken to determine whether the fluid travels properly out of the uterus and into the fallopian tubes. Sexual history – One of the purposes of obtaining a sexual history is to determine whether the partners have any sexual disturbance or dysfunction. Factors affecting Fertility Low body weight - Women with BMI less than 19 and irregular menstruation should be counselled to gain weight. Smoking - Strong association between smoking and fertility in both partners. - Affects success rates of ARTs.