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Women older than 35 years or couples with known risk factors for infertility may warrant evaluation at six months. Cholesterol One study has found that high cholesterol levels may have an impact on fertility in women. Regardless of the treatment approach, establish a 6- to 12-month interval during which a spontaneous pregnancy is expected to occur. Ongoing Pregnancies and Birth after Intracytoplasmic Sperm Injection with Frozen-thawed Epididymal Spermatozoa. (PDF, 442 KB) Human Reproduction, 1995.

Surgical procedure to conserve the uterus for future pregnancy in patients suffering from massive adenomyosis.(PDF, 958 KB) Reproductive BioMedicine Online, 2010. Microsurgery for Vasectomy Reversal and Vasoepididymostomy. (PDF, 13 MB) Urology, 1984. If the sperm are of good quality and the mechanics of the woman's reproductive structures are good (patent fallopian tubes, no adhesions or scarring), a course of ovulation induction maybe used.

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Having an irregular cycle, including missing periods, can contribute to infertility, as it means a woman may not be regularly ovulating. Because sperm generation time is just over two months, it is recommended to wait three months before repeat sampling. Fallopian tube factor: in vivo fertilisation takes place inside the fallopian tubes. Endometriosis: Cells that normally occur within the lining of the uterus start growing elsewhere in the body.

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WHAT'S THE DIFFERENCE BETWEEN PRIMARY AND SECONDARY STERILITY? It is often defined as not conceiving after 12 months of regular sexual intercourse without the use of birth control. It involves removing eggs from the ovary of a donor who has taken fertility drugs. Blood test: The lab will test for levels of testosterone and other hormones.

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Exposure to some chemicals: Some pesticides, herbicides, metals, such as lead, and solvents have been linked to fertility problems in both men and women. Uterine surgery: - Women with amenorrhoea who are found to have intrauterine adhesions should be offered hysteroscopic adhesiolysis because this is likely to restore menstruation and improve the chance of pregnancy. If a woman has cycles at intervals of greater than 35 days, it may indicate that she is not ovulating an egg predictably, or even at all. Problems with sexual intercourse These can include trouble keeping or maintaining an erection sufficient for sex (erectile dysfunction), premature ejaculation, painful intercourse, anatomical abnormalities such as having a urethral opening beneath the penis (hypospadias), or psychological or relationship problems that interfere with sex. Other causes of infertility affecting both partners include immunological incompatibility between sperm and the cervical mucus, which may in some instances cause sperm agglutination.