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Antibodies against the sperm in the cervical mucus particularly often occur in sterile marriages. Primary vs. secondary infertility[edit] Primary infertility is defined as the absence of a live birth for women who desire a child and have been in a union for at least 12 months, during which they have not used any contraceptives.[14] The World Health Organisation also adds that 'women whose pregnancy spontaneously miscarries, or whose pregnancy results in a still born child, without ever having had a live birth would present with primarily infertility'.[15] Secondary infertility is defined as the absence of a live birth for women who desire a child and have been in a union for at least 12 months since their last live birth, during which they did not use any contraceptives.[15] Thus the distinguishing feature is whether or not the couple have ever had a pregnancy which led to a live birth. One of the requirements for this procedure is that a woman should have at least 1 undamaged fallopian tube.

47 Motivational interviewing techniques for modifiable risk factors, such as obesity, tobacco, illicit drugs, and alcohol, can decrease the targeted risk factor. Its treatment depends on the etiologic factor, but, in many instances, the underlying cause remains unknown. For men, a visual inspection of sexual characteristics can identify such endocrinopathies as hypogonadism (a condition resulting in atrophy or deficient development of secondary sexual characteristics) or Klinefelter’s syndrome (a genetic anomaly often associated with infertility).

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Operative hysteroscopy associated with tubal cannulation is helpful to treat cornual obstruction. Endometriosis  Endometriosis is a condition where the inner lining of the uterus, known as the endometrium, attaches and grows in other areas. Bromocriptine is used in cases when anovulation is caused by an elevated level of the hormone prolactin. Ovarian Transplantation between Monozygotic Twins Discordant for Premature Ovarian Failure. (PDF, 315 KB) The New England Journal of Medicine, 2005. Donor semen should be free from any STI-producing organisms, including HIV.

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Open-ended Vasectomy, Sperm Granuloma, and Postvasectomy Orchialgia. (PDF, 13 MB) Fertility and Sterility, 1979. A typical disease is polycystic ovarian syndrome. It delivers a constant supply of Gn-RH to the pituitary gland, which alters the production of hormone, allowing the doctor to induce follicle growth with FSH.

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There are treatments that are specifically for men or for women. Microsurgical Reversal of Tubal Sterilization: Factors Affecting Pregnancy Rate, with Long-term Follow-up. (PDF, 2 MB) Obstetrics & Gynecology, 1984. The most common identifiable causes of female fertility problems are outlined below: • Ovulatory dysfunction, (or anovulation) where an egg is not released from the ovary every month, is the single most common cause of female infertility. A combination of all of these conditions is accordingly termed oligoasthenoteratozoospermia or short OAT syndrome. This whole process hinges on there being proper levels of testosterone and other hormones as well as correct signaling from the nervous system. Risk factors Risk factors that increase the risk include: Smoking significantly increases your risk of infertility Age: The ability to conceive starts to fall around the age of 32 years. The main reasons for fertility tourism are legal regulation of the sought procedure in the home country, or lower price. This is obviously extremely distressing for the couples involved. A history and physical examination can help direct the evaluation. This standardized approach to the management of infertility will lead to more efficient, systematic and economic care for the infertile couple.