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About 25% of all infertility is caused by an ovulation disorder. Your doctor will determine if you are at risk of having endometriosis based on a careful history, physical exam, and ultrasound. Your doctor may ask you many of the following questions: How long have you been trying to get pregnant? However, about one in five cases of infertility has no clear diagnosed cause.[73] In Britain, male factor infertility accounts for 25% of infertile couples, while 25% remain unexplained. Let’s review some of the most common causes of infertility in women: Ovulation disorders  Ovulation disorders account for 25 percent of the cases of infertility in women.

About 10% of reproductive age women are affected by endometriosis. Ovulation induction in polycystic ovary syndrome [published corrections appear in J Obstet Gynaecol Can. The sperm can either be mixed with the eggs to allow normal fertilization (conventional insemination) or by injecting one sperm into each mature egg (ICSI). 8,33,35,36 Lastly, in vitro fertilization, with or without intracytoplasmic sperm injection, is the mainstay of assisted reproductive technology for male factor infertility. Embryo Development after ICSI Using Testicular, Epididymal and Ejaculated Spermatozoa. (PDF, 2 MB) Frontiers in Endocrinology, 1995. The sperm is washed in a fluid and the best specimens are selected.

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Infertility in women was ranked the 5th highest serious global disability5&6 (among populations under the age of 60). 8–16 One retrospective case-control study of 650 men with infertility and 698 control participants questioned the role of environmental risk; no association could be determined after assessing for multiple factors including shift work, stress, and pesticides. Pregnancy after Vasovasostomy for Vasectomy Reversal: A Study of Factors Followed for 10 Years. (PDF, 3 MB)Human Reproduction, 1989.

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Those who do have fertility problems are treated according to the following guidelines: [112, 113, 114] Chronic cervical factor of absence of mucus - Intrauterine insemination Cervical incompetence - Cerclage Damage/absence of fallopian tubes (ectopic) - In vitro fertilization Unicornuate uterus A unicornuate uterus remains undetected unless fertility is compromised. Editorial: The Cure and Proliferation of Male Infertility. (PDF, 2 MB) The Journal of Urology, 1998. The laboratory evaluation begins with a semen analysis. Optimizing natural fertility: a committee opinion. This process bypasses the normal fertilization process, which may be compromised due to poor sperm function. If the correction is not done, it may be harder for the sperm to get to the female's cervix.

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Once confirmed, the male partner is referred to a reproductive urologist, especially if the abnormality is severe. Between 45 and 50 percent of cases are thought to stem from factors that affect the man. This pill generally is taken from menstrual cycle days 3 – 7. Couples will have to consider the ethical and emotional aspects of this procedure. Operative hysteroscopy associated with tubal cannulation is helpful to treat cornual obstruction. Pregnancy After Testicular Transplant: Importance of Treating the Couple. (PDF, 5 MB) Fertility and Sterility, 1980. Other hormones including inhibin B and leptin, may also be affected by obesity. Disorders of the hypothalamus lead to hypogonadotropic hypogonadism. Medical conditions Some medical conditions can affect fertility.


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See also
Infertility Liver Problems
Infertility Uterus/fallopian Tubes
Impotence and Infertility