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Fertility Evaluation: General and Sexual History A detailed history includes: General history  This includes occupation and background, use of tobacco, alcohol and drugs, earlier diseases, history of abdominal surgery and earlier infections. Infrequent and light menstruation occurs in about 40% of women with ovulatory dysfunction. The views expressed in this material are those of the authors, and do not reflect the official policy or position of the U. Some personal habits are considered risk factors for infertility, such as excess alcohol intake [11] and cigarette smoking [12].

29 When the semen analysis is abnormal, referral to a male fertility specialist or reproductive endocrinologist is warranted. Ovulation often can be detected by keeping a menstrual calendar or using an ovulation predictor kit. Some women are infertile because their ovaries do not mature and release eggs. The search included meta-analyses, randomized controlled trials, clinical trials, and systematic reviews. The testes are at risk for both thermal and physical trauma because of their exposed position. Histological dating of timed endometrial biopsy tissue is not related to fertility status.

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Radiopaque dye is instilled into the uterine cavity through the cervix and x-rays are taken. These factors may interfere with embryo implantation and a woman’s ability to carry pregnancy to term. Removal of polyps by the minimally invasive procedure hysteroscopy is associated with a doubling of pregnancy rate. Microsurgical Aspects of Varicocele. (PDF, 9 MB) Fertility and Sterility, 1979. Gerrits T, Shaw M (2010). "Biomedical infertility care in sub-Saharan Africa: a social science review of current practices, experiences and view points".

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Patients may be candidates for assisted reproduction techniques after appropriate genetic screening in the partner.[29] Acquired blockage of the ductal system Genital ducts may become obstructed secondary to infections, such as chlamydia, gonorrhea, tuberculosis, and smallpox. Ovulation induction is somewhat different from controlled ovarian hyperstimulation, which involves the use of some of the same medications to stimulate the development of multiple mature follicles and eggs in order to increase pregnancy rates with various infertility treatments. Semen and sperm Sometimes the sperm cannot travel effectively to meet the egg.

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In some cases, your doctor may recommend a procedure known as intracytoplasmic sperm injection (ICSI). The chance of a multiple birth is lower with an oral fertility drug. Signs of Potential Infertility in Women In women, changes in the menstrual cycle and ovulation may be a symptom of a disease related to infertility. Submucosal fibroids: Benign or non-cancerous tumors occur in the muscular wall of the uterus. Computer-aided semen analysis (CASA) Introduced in the late 1980s, CASA uses a video camera and computer to visualize and analyze sperm concentration and movement.