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34 Although intrauterine insemination has been shown to be equally effective as timed intercourse in unstimulated cycles, there is a modest increase in live birth rates when combined with ovarian stimulation. A typical disease is polycystic ovarian syndrome.

43 Other low-cost methods of monitoring for ovulation, although less effective, include basal body temperature measurements and cervical mucus changes. Vasectomy and Vasectomy Reversal. (PDF, 7 MB) Fertility and Sterility, 1978.

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Choice of infertility treatment often related to issues of efficacy, cost, ease of use or administration, and its side effects. You can find much more information about your privacy choices in our privacy policy. Environmental toxins, including pesticides and lead. Risk factors for the formation of antisperm antibodies in men include the breakdown of the blood‑testis barrier, trauma and surgery, orchitis, varicocele, infections, prostatitis, testicular cancer, failure of immunosuppression and unprotected receptive anal or oral sex with men.[23][24] Sexually transmitted infections[edit] Infections with the following sexually transmitted pathogens have a negative effect on fertility: Chlamydia trachomatis and Neisseria gonorrhoeae. Exposure to toxic agents can occur from occupational hazards or contaminated air, water, food supply or other exposures.

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Endocrine tests to check concentrations of the hormones testosterone, FSH and LH. It varies with the age (the optimal female age is between 23 and 39 years) and with body weight (the ideal body mass index is between 19 and 30). Around one third of couples have difficulty conceiving due to a low sperm count. Steroids used to build muscles can shrink the testes and may lead to decreased sperm production.

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These include advancing maternal age, severe male factor infertility (whereby ICSI can be used to fertilize the egg), and endometriosis, amongst many others. Use of clomiphene citrate in infertile women: a committee opinion. A doctor may diagnose infertility if a woman has not become pregnant after 1 year of trying. Renal Echinococcus. (PDF, 1 MB) The Journal of Urology, 1972. Primary infertility When a woman is unable to ever bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth she would be classified as having primary infertility. Renal Transplantation Between Adults and Children. (PDF, 1 MB) Journal of the American Medical Association, 1974. Defects in cilia Immotile cilia syndrome may occur as an isolated disorder or as part of Kartagener syndrome with situs inversus.