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In this article, learn about signs of infertility in both men and women, as well as when to see a doctor. Fertility Evaluation: Obstetric and Gynecological History The obstetric and gynecological history should include: Reproductive history (children, mode of delivery, prematurity, stillbirth, extrauterine pregnancy, spontaneous and induced abortion, fertility and infertility in earlier relationships). This may partly be due to the fact that the average age at which women give birth to their first child also keeps rising because of occupational preferences and longer periods of education.

Couples who do not conceive after treatment for six cycles with documented ovulation should also consider referral to an infertility specialist. Etiologies include cysts (midline and eccentric), ductal calcification and stones, postinfectious, and postoperative. Treatment Possibilities: Female Infertility Depending on the cause of infertility, there are different possibilities for treatment.

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As treatment begins, couples may experience cycles of optimism and despair with each passing menstrual cycle. In patients with obstructive azoospermia and normal gonadotropin levels, sperm can be obtained through microsurgical epididymal sperm aspiration or testicular biopsy. [213] Fertilization of the oocytes is performed using IVF/intracytoplasmic sperm injection. Effects[edit] Psychological[edit] The consequences of infertility are manifold and can include societal repercussions and personal suffering. A subgroup of patients has PCOS with hyperinsulinism, hyperandrogenism associated with acanthosis nigricans, and resistance to CC. [205, 206] This group is amenable to metformin treatment. [207, 208] Metformin improves insulin sensitivity and decreases hepatic gluconeogenesis and, therefore, reduces hyperinsulinism, basal and stimulated LH levels, and free testosterone concentration.

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Other causes may include: Genetic factors: A man should have an X and Y chromosome. A man’s age significantly affects coital frequency and sexual function. Gonadotropin-releasing hormone (Gn-RH) analogs: These can help women who ovulate too early—before the lead follicle is mature—during hmG treatment.

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Successful Vitrification of Bovine and Human Ovarian Tissue. (PDF, 3 MB) Reproductive BioMedicine Online, 2009. If the sperm are of good quality and the mechanics of the woman's reproductive structures are good (patent fallopian tubes, no adhesions or scarring), a course of ovulation induction maybe used. Microsurgery in Clinical Urology. (PDF, 5 MB) Urology, 1975. Furthermore, laparoscopy assists in the differential diagnosis between a septate and a bicornuate uterus. Implantation: the process when the fertilized egg attaches to the uterine wall. Some couples experience pressure from society, parents and family, who expect that they wish to have children. PDF Articles by Decade: 1970s | 1980s | 1990s | 2000s | 2010s ARTICLES FROM THE 1970s Active Lupus Glomerulitis and Hematoxylin Bodies with Normal Urinalysis. (PDF, 5 MB) The Journal of Urology, 1971. It can also help if a man has severe erectile dysfunction. As new technology becomes available, fertility treatment is now accessible to more people, and success rates and safety are improving all the time. Causes of Sterility in Men Image: “Colorized sperm sample under the light microscope” by Bobjgalindo.