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6,28 Additionally, postcoital testing of cervical mucus is no longer recommended because it does not affect clinical management or predict the inability to conceive. A history and physical examination can help direct the evaluation. The most commonly prescribed pill to stimulate ovulation (generally of one mature egg) is clomiphene citrate.

Society and culture[edit] Perhaps except for infertility in science fiction, films and other fiction depicting emotional struggles of assisted reproductive technology have had an upswing first in the latter part of the 2000s decade, although the techniques have been available for decades.[76] Yet, the number of people that can relate to it by personal experience in one way or another is ever growing, and the variety of trials and struggles is huge.[76] Pixar's Up contains a depiction of infertility in an extended life montage that lasts the first few minutes of the film.[77] Other individual examples are referred to individual subarticles of assisted reproductive technology Ethics[edit] There are several ethical issues associated with infertility and its treatment. Ultrasound: This may reveal issues such as ejaculatory duct obstruction or retrograde ejaculation.

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Laboratory studies have suggested that long-term acetaminophen use during pregnancy may affect fertility in males by lowering testosterone production. 3  Sometimes, a couple who’ve already had a child can have trouble conceiving again.

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Both pituitary insufficiency and pituitary excess cause infertility. They can often recommend a counselor and others who can offer appropriate support. Transsphenoidal resection of a microprolactinoma is 80-90% successful, but as many as 17% recur. Existing definitions of infertility lack uniformity, rendering comparisons in prevalence between countries or over time problematic.

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For women, being underweight and having extremely low amounts of body fat are associated with ovarian dysfunction and infertility and they have a higher risk for preterm birth. The pregnancy rate fluctuates from 20-35%, and the expected ectopic pregnancy rate is as high as 20%. The effect of age upon men's fertility is less clear.[citation needed] In people going forward for IVF in the UK, roughly half of fertility problems with a diagnosed cause are due to problems with the man, and about half due to problems with the woman. Pregnancy Caused by Sperm from Vasa Efferentia. (PDF, 1 MB) Fertility and Sterility, 1988. Another requirement for male fertility is a normal ductal system. There are treatments that are specifically for men or for women.