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Primary infertility When a woman is unable to ever bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth she would be classified as having primary infertility. Semen analysis: A sample may be taken to test for sperm concentration, motility, color, quality, any infections, and whether any blood is present. In men, exposure to lead can reduce both sex drive and sperm count.

With this treatment, the patient experience spermatogenesis, and therefore, it has the chance to have offspring if he wants to. 3) Insemination: Intrauterine insemination, also known as IUI, is a process by which sperm is washed and prepared for placement into the uterine cavity, therefore bypassing the cervix and bringing a higher concentration of motile sperm closer to the tubes and ovulated egg. The Use of Epididymal Sperm in Assisted Reproduction. (PDF, 8 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994.

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High Fertilization and Pregnancy Rate after Intracytoplasmic Sperm Injection with Spermatozoa Obtained from Testicle Biopsy. (PDF, 3 MB) Human Reproduction, 1995. Unexplained infertility is not the same thing as having no explanation, but rather reflects the fact that the tests performed have been normal. This may take the form of miscarriages or extrauterine pregnancies. Chances of conception People who are concerned about their fertility should be informed that over 80% of couples in the general population will conceive within 1 year if: - the woman is aged under 40 years - they do not use contraception and have regular sexual intercourse. Half of those who do not conceive in the first year will do so in the second year (cumulative pregnancy rate over 90%)(cumulative pregnancy rate over 90%) 5. Hormonal analysis reveals increased gonadotropin levels, while 60% have decreased testosterone levels.

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Treatment of the cause: 23. Ovulation disorders: The WHO classifies ovulation disorders into 3 groups: 1. If this is unsuccessful, the dosage may be increased to 100 mg daily. Prolonged anestrus may be congenital or acquired. In these cases the duration of the infertility is the best parameter by which to judge the chances of future natural conception; the longer the time of infertility then the sooner intervention should be considered.April 23–29 is National Infertility Awareness Week and is intended to increase awareness of infertility, which affects the reproductive systems of both women and men (1). Symptoms of hormone fluctuations Signs of hormone fluctuations in women could indicate potential issues with fertility.

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Debate over whether health insurance companies (e.g. in the US) should be required to cover infertility treatment. A history of sexually transmitted infections could be another cause of infertility in either partner. Dr Freundl from the University of Heidelberg suggests that tests which use LH as a reference often lack sensitivity and specificity.[13] Classification[edit] The World Health Organization criteria for classification of anovulation include the determination of oligomenorrhea (menstrual cycle >35 days) or amenorrea (menstrual cycle > 6 months) in combination with concentration of prolactin, follicle stimulating hormone (FSH) and estradiol (E2). 6 The initial history should cover menstrual history, timing and frequency of intercourse, previous use of contraception, previous pregnancies and outcomes, pelvic infections, medication use, occupational exposures, substance abuse, alcohol intake, tobacco use, and previous surgery on reproductive organs. About 85 percent of male-female couples will be able to get pregnant within 12 months of trying. Primary sterility exists when the couple has never fallen pregnant and secondary sterility when the issue arises following one successful pregnancy but no further pregnancies. Nevertheless, scientists have found these stem cells, which may generate new oocites in postnatal conditions. Intrauterine insemination. For this procedure, after semen gets rinsed with a special solution, a doctor places it into your uterus when you're ovulating. This method takes several weeks and daily hormone injections are needed to ensure successful implantation. Intracytoplasmic Sperm Injection Today: A Personal Review. (PDF, 5 MB) Human Reproduction, 1998.