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Some diseases: Conditions that are sometimes linked to lower fertility in males are anemia, Cushing's syndrome, diabetes, and thyroid disease. It is found in approximately 10-50% of reproductive-aged women and can be associated with infertility as well as pain during intercourse and/or menstrual periods.

Paternal age > or = 40 years: an important risk factor for infertility. ICSI offers a high pregnancy rate and 70—80 % of eggs are fertilized through this technique. The optimum fertile period is around 23 years of age when only 5% of women have issues getting pregnant. 43 Other low-cost methods of monitoring for ovulation, although less effective, include basal body temperature measurements and cervical mucus changes. Further investigations Investigation of suspected tubal and uterine abnormalities: 1. The most common of these tests include measurements of blood levels of certain hormones such as estradiol and FSH, which are related to ovarian function and overall egg numbers; TSH, which assesses thyroid function; and prolactin, a hormone that can affect menstrual function if elevated.

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Listen to Professor Cheong talk about the fertility investigations we offer       Repeated pregnancy loss Some people may not have difficulty conceiving, but have suffered from miscarriages. Treatment of Male-factor Infertility. (PDF, 10 MB) Chapter 9 from Progress in Infertility, 1993. Endometriosis: Cells that normally occur within the lining of the uterus start growing elsewhere in the body.

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Low sperm mobility (motility): The sperm cannot "swim" as well as they should to reach the egg. Summary Infertility is a significant medical and social problem affecting couple worldwide. It is a sensitive issue that should be handled with great care with continuous professional counselling. Most young couples will conceive naturally within 2 years. Evaluation of both partners for causes is essential. Treatment depends on the cause, and varies from medical treatment to surgery to ART. 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. 1) Advancing maternal age: Historically before the latter 20th century, women were conceiving in their teens and twenties, when age-related abnormalities with the egg were not evident.

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Some facts about conception and fertility A doctor can give advice and carry out some preliminary assessments. Intra-abdominal adhesion formation is a risk associated with both laparoscopic and open surgery and remains a significant, unresolved problem.[29] Adhesions are fibrous deposits that connect tissue to organ post surgery. The procedure is performed by interventional radiology and requires overnight admission for the patient. [125] It is NOT intended for patients who desire fertility. They can interfere with implantation or block the fallopian tube, preventing sperm from fertilizing the egg. This should be followed by documentation of ovulation via serum progesterone. Egg donation. This can help you if you have ovaries that don't work right but you have a normal uterus. This can make it difficult for the embryo to implant. 30–32 Other treatment options include antiestrogens and gonadotropin therapy, which showed a trend toward increased live birth rates in a Cochrane review.