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STUDIES DEMOGRAPHIC DATA EVALUATION TOPIC: FERTILITY MEASURES LECTURER: MISS ADETORO GBEMISOLA W. Eating disorders: If an eating disorder leads to serious weight loss, fertility problems may arise. 8 Patients should be counseled that 50% of couples who have not conceived in the first year of trying will conceive in the second year.

At this point, psychological consultation and support should be provided [44]. When Predictions Don’t Predict. (PDF, 549 KB) The Australian and New Zealand Journal of Obstetrics and Gynaecology, 1991. In humans, infertility is the inability to become pregnant after one year of intercourse without contraception involving a male and female partner.[2] There are many causes of infertility, including some that medical intervention can treat.[3] Estimates from 1997 suggest that worldwide about five percent of all heterosexual couples have an unresolved problem with infertility.

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Those with a varicocele diagnosable only on scrotal ultrasonography have subclinical varicoceles and will likely not benefit from repair. Endometriosis Endometriosis is when the tissue of the uterine lining grows outside of the uterus. Sperm retrieval for azoospermia and intracytoplasmic sperm injection success rates – A personal overview. (PDF, 1 MB) Human Fertility, 2010. This allows for the diagnosis and treatment of conditions such as endometriosis with one procedure. Debate over whether health insurance companies (e.g. in the US) should be required to cover infertility treatment. Diverse Spermatogenic Defects in Humans Caused by Y Chromosome Deletions Encompassing a Novel RNA-binding Protein Gene. (PDF, 2 MB) Human Reproduction, 1996.

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It makes the pituitary gland release more follicle-stimulating hormone (FSH) and luteinizing hormone (LH). Steroids used to build muscles can shrink the testes and may lead to decreased sperm production. For example, polycystic ovarian syndrome is when the eggs only partially developed within the ovary and there is an excess of male hormones.

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This process has revolutionized assisted reproductive technology and the way reproductive endocrinologists can help people in having a baby. For example, polycystic ovarian syndrome is when the eggs only partially developed within the ovary and there is an excess of male hormones. Search dates: January 6, 2014; January 28, 2014; February 5, 2014; and November 18, 2014. Round Spermatid Injection. (PDF, 422 KB) Fertility and Sterility, 2000. The Intra-abdominal Testes: Microvascular Autotransplantation. (PDF, 4 MB) The Journal of Urology, 1981. Ultrastructure of Human Sperm in Men with Congenital Absence of the Vas Deferens: Clinical Implications. (PDF, 2 MB) Fertility and Sterility, 1992. The findings of the biopsy help determine whether the endometrium is adequately developed to support implantation and growth of a fertilized egg. After repair, 40-70% of patients have improved semen parameters, while 40% are able to impregnate their partner without other interventions. This process bypasses the normal fertilization process, which may be compromised due to poor sperm function. BMI (body mass index) may be a significant factor in fertility, as an increase in BMI in the male by as little as three units can be associated with infertility. Irregular ovulation can be due to many issues, including polycystic ovary syndrome (PCOS), obesity, being underweight, and thyroid issues. Role of Semen Analysis in Subfertile Couples. (PDF, 250 KB) Fertility and Sterility, 2010. The key element is the use of a laparoscope, a long fiber optic cable system which allows viewing of the affected area by snaking the cable from a more distant, but more easily accessible location. Less common factors The following other factors may also be responsible for infertility in a smaller proportion of cases: • Genetic abnormalities within eggs, sperm or both • An abnormal uterine cavity, including the presence of fibroids or polyps • Immunological infertility, whereby either the male or female partner produces anti-bodies against sperm cells or implantation of an embryo • Abnormal cervical mucus which hinders the passage of sperm to the uterus and fallopian tubes Unexplained infertility Even when investigations have been extensive, some couples will have no reason with which to explain their infertility.