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When Predictions Don’t Predict. (PDF, 549 KB) The Australian and New Zealand Journal of Obstetrics and Gynaecology, 1991. The Avon Longitudinal Study of Pregnancy and Childhood Study Team.

Microsurgery in Pediatric Urology. (PDF, 13 MB) The National Foundation, 1977. The number of days in between each period varies each month. If conception does not occur after many months or years of trying, it can lead to stress and possibly depression. The use of Epididymal and Testicular Spermatozoa for Intracytoplasmic Sperm Injection: The Genetic Implications for Male Infertility. (PDF, 8 MB) Human Reproduction, 1995. Infection An increased number of white blood cells in the semen may be observed in patients with infectious or inflammatory processes of the genital tract.

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Exercise: Both too much and too little exercise can lead to fertility problems. Defects of tubules that transport sperm There are many different tubes that carry sperm. This period is shorter when the female is aged between 35 and 40 and treatment should not be put off in those cases where the woman is aged over 40.

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The only disadvantage with BBT is that in many instances, the shift does not occur in a clear way, and the patient misses the time of ovulation. Definition of Infertility Infertility is defined as the inability to conceive after 12 months of having sexual intercourse with average frequency, without the use of any form of birth control. Sexually transmitted infections (STIs): Chlamydia can damage the fallopian tubes in a woman and cause inflammation in a man's scrotum.

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Ovulation usually occurs within the 32-40 hours after the indicative color change. Polycystic ovary syndrome (also known as Stein-Leventhal syndrome) and hyperprolactinemia can also cause anovulatory cycles through hormonal imbalances.[1][2] Functional problem[edit] This accounts for around 10-15% of all cases of anovulation. Sterility is an emotional journey for the couple trying to become pregnant, and feelings of anger, guilt, and depression are not uncommon. Cervical factors are also thought to play a minor role, although they are rarely the sole cause. Treatment of tubal obstruction generally requires referral for subspecialty care. Requirements for Female Fertility (Continued) Other requirements for female fertility include: Adequate sexual drive and sexual function to permit coitus. 6,23 Anovulatory women should have further investigation to determine treatable causes such as thyroid disorders or hyperprolactinemia based on symptoms. Known male factor semen abnormalities: If a male partner has a history of infertility with a prior partner, or if there are abnormalities on his semen analysis, then we advise earlier fertility evaluation, ideally within 6 months of attempting pregnancy. Depending on the therapeutic agent and the duration of treatment, endometriosis can be treated with oral contraceptives, progestins, androgens, or GnRH agonists. The following problems are possible: Low sperm count: The man ejaculates a low number of sperm. The Use of Epididymal Sperm in Assisted Reproduction. (PDF, 8 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. In reproductive medicine, the most common surgical procedures are laparoscopy, hysteroscopy, and abdominal myomectomy (removal of uterine fibroids). Through this technique, your physician can diagnose abnormalities such as fibroids or polyps within the uterine cavity, and via narrow instruments that run through the hysterosope, can remove or correct the great majority of these abnormalities. In many cases, there are tests that can help find the cause(s) of male infertility. At least one open tube is required for IUI, and any sperm abnormality cannot be severe, otherwise the sperm will not be able to swim to and fertilize the egg.