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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. Sherman Silber: Be Fruitful and Multiply. (PDF, 6 MB) Lifestyles Magazine, 1999.

Normal Pregnancies Resulting from Testicular Sperm Extraction and Intracytoplasmic Sperm Injection for Azoospermia Due to Maturation Arrest. (PDF, 6 MB) Fertility and Sterility, 1996. Demographic definitions of infertility An inability of those of reproductive age (15-49 years) to become or remain pregnant within five years of exposure to pregnancy. (DHS2) An inability to become pregnant with a live birth, within five years of exposure based upon a consistent union status, lack of contraceptive use, non-lactating and maintaining a desire for a child. (Trends in prevalence4). MESA or TESA? (PDF, 115 KB) Human Reproduction, 1996. Mental stress: Stress can be a factor, especially if it leads to reduced sexual activity. Factors effecting normal expectancy of conception. A history and physical examination can help direct the evaluation.

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Although varicoceles are present in 15% of the male population, a varicocele is considered the most common correctable cause of infertility (30-35%) and the most common cause of secondary (acquired) infertility (75-85%). 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. Incidence and main causes of infertility in a resident population (1,850,000) of three French regions (1988–1989).

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4) Uterine fibroids: Fibroids are very common (approximately 40% of women may have them) and the mere presence alone does not necessarily cause infertility. Gracia CR, Sammel MD, Coutifaris C, Guzick DS, Barnhart KT. Infrequent and light menstruation occurs in about 40% of women with ovulatory dysfunction.

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Defects of tubules that transport sperm There are many different tubes that carry sperm. GIFT (gamete intrafallopian tube transfer) and ZIFT (zygote intrafallopian transfer).  Like IVF, these procedures involve retrieving an egg, combining it with sperm in a lab, and then transferring it back to your body. Eating disorders: If an eating disorder leads to serious weight loss, fertility problems may arise. Excess alcohol consumption: This may lower male fertility. It is important to tell a doctor if excessive mental and emotional stress develop. This test is usually performed in a radiology facility About 25% of all infertility is due to a tubal factor Laparoscopy This is a surgical procedure and should not be performed until the basic testing has been done on both partners. This may partly be due to the fact that the average age at which women give birth to their first child also keeps rising because of occupational preferences and longer periods of education. In many instances, patients can ovulate while on metformin treatment. Causes of Sterility in Men Image: “Colorized sperm sample under the light microscope” by Bobjgalindo. Consequently, the patient with PCOS becomes responsive to CC ovulation induction.