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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. Age plays quite a critical role, as fertility peaks for both men and women in their mid-twenties. In this case, your doctor may recommend advanced fertility treatment — assisted reproductive technologies (ART) treatment. Intracytoplasmic Sperm Injection Today: A Personal Review. (PDF, 5 MB) Human Reproduction, 1998. Although CASA produces good qualitative data, it is a labor-intensive procedure with a high initial cost and is plagued with inaccuracies when sperm concentrations are very high or very low. Female factor Dysfunction of the female reproductive organs is also apparent in around 40% of infertile couples.

A woman of reproductive age who has not conceived after 1 year of unprotected vaginal sexual intercourse, in the absence of any known cause of infertility. Your physician will discuss these approaches to having a baby if appropriate to your particular case. Ultrasound: This may reveal issues such as ejaculatory duct obstruction or retrograde ejaculation. Some methods may be used in concert with other methods.

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About one-third of infertility cases are caused by fertility problems in men and another one-third of fertility problems are due to fertility problems in women. 37 Clomiphene has also proven effective for ovulation induction in women with polycystic ovary syndrome.

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Causes of infertility include male factors, ovulatory dysfunction, uterine abnormalities, tubal obstruction, peritoneal factors, or cervical factors. Clomiphene citrate (Clomid, Serophene) The chemical formula for clomiphene citrate (CC) is 2-[p -(2-chloro-1,2-difhenylvinyl) phenoxy] triethylamine dihydrogen citrate. However, varicoceles may lead to impaired testicular spermatogenesis and steroidogenesis, potentially due to an increased intratesticular temperature, reflux of toxic metabolites, and/or germ cell hypoxia as potential causes of these changes, and this appears to be progressive over time. Choice of infertility treatment often related to issues of efficacy, cost, ease of use or administration, and its side effects. Infertility may be caused by blockage of the Fallopian tube due to malformations, infections such as chlamydia or scar tissue. A urinary LH kit is a practical way to monitor these patients.

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Secondary infertility When a woman is unable to bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth following either a previous pregnancy or a previous ability to carry a pregnancy to a live birth, she would be classified as having secondary infertility. Histological dating of timed endometrial biopsy tissue is not related to fertility status. No Differences in Outcome after Intracytoplasmic Sperm Injection with Fresh or with Frozen-thawed Epididymal Spermatozoa. (PDF, 66 KB) Human Reproduction, 1999. IVF and other fertility treatments have resulted in an increase in multiple births, provoking ethical analysis because of the link between multiple pregnancies, premature birth, and a host of health problems. It does not affect the couples' life only, but it also affects the healthcare services and social environment [4]. The fertilized egg moves down the fallopian tube towards the uterus. In all cases, however, the pain is transient, as the body tissues will absorb the CO2 and eliminate it through respiration.[28] Coagulation disorders and dense adhesions (scar tissue) from previous abdominal surgery may pose added risk for laparoscopic surgery and are considered relative contra-indications for this approach. 2) Ovulation disorders: Normal and regular ovulation, or release of a mature egg, is essential for women to conceive naturally. 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.


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See also
Infertility Insurance Georgia
Infertility Statistics Ireland
Infertility Awareness Merchandise