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Predominantly anovulation is caused by hormonal imbalances such as Polycystic Ovarian Syndrome (PCOS) but ovarian scarring and premature menopause can also result in failure to ovulate. • Tubal disease, comprising anything from mild adhesions to complete blockage of the fallopian tubes, prevents fertilised eggs from travelling from the site of fertilisation to the uterus. It is more successful in women who have previously been pregnant. Some women experience a few days of light flow, while others regularly experience heavy periods and painful cramps.

The use of CC is contraindicated in cases of ovarian cyst, pregnancy, and liver disease. Vasectomy Reversal. (PDF, 733 KB) The New England Journal of Medicine, 1977.

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This may reflect an unknown immunological incompatibility or other unknown problem with fertilization or implantation. 7) Endometriosis: Endometriosis is a condition whereby cells very similar to the ones lining the uterine cavity, or endometrium, are found outside the uterine cavity. You have never had a period, or periods suddenly stop. Retrograde ejaculation: Sperm can be taken directly from the bladder and injected into an egg in the laboratory.

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Generally, evaluation should be offered to couples who have not conceived after one year of unprotected vaginal intercourse. Financing fertility treatment can also be costly, but there are programs that can help with this.Infertility is when you cannot get pregnant after having unprotected, regular sex for six months to one year, depending on your age.

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Some diseases: Conditions that are sometimes linked to lower fertility in males are anemia, Cushing's syndrome, diabetes, and thyroid disease. Any of the following can cause a man to have a low sperm count or abnormal sperm: Varicocele — an abnormal collection of bulging veins above the testicle; they’re the most common cause of correctable male infertility, accounting for 38% of cases Undescended testicle Infections in the testicle (orchitis), the prostate (prostatitis), or elsewhere in the body that causes a fever Chemotherapy for cancer Medicines such as anabolic steroids or anti-seizure medicines Genetic abnormalities Hormone problems In some cases, these problems can be reversed, but other times they can’t. 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. Although the XXY pattern is observed in the spermatogonia and primary spermatocytes, many of the secondary spermatocytes and spermatids have normal patterns. These risks include: Age (past age 40, men experience more fertility problems). Epididymal Extravasation Following Vasectomy as a Cause for Failure of Vasectomy Reversal. (PDF, 22 MB)Fertility and Sterility, 1979. If the epididymis is blocked, sperm may not be ejaculated properly.