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The initial result of the procedure is not detected before 3 months because spermatogenesis takes 72 days. A woman of reproductive age who has not conceived after 1 year of unprotected vaginal sexual intercourse, in the absence of any known cause of infertility. IUI with the partner’s sperm can be used as a potentially effective treatment for infertility in women under age of 45 except for cases with tubal blockage, very poor egg quality, ovarian failure and severe male factor infertility (very low sperm count or very poor sperm shape or mobility).

It is increasingly recognized that egg quality is of critical importance and women of advanced maternal age have eggs of reduced capacity for normal and successful fertilization. Therefore we recommend a fertility evaluation if a couple has been attempting pregnancy for 6 months or more when the woman is 35 years of age or older. Sterility is the inability to conceive after two years of regular intercourse. 50% are female causes with 25% being due to anovulation and 25% tubal problems/other.[74] In Sweden, approximately 10% of couples wanting children are infertile.[75] In approximately one third of these cases the man is the factor, in one third the woman is the factor, and in the remaining third the infertility is a product of factors on both parts.

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8) Unexplained/other: Sometimes a full evaluation does not reveal the cause of infertility. This was set up on 1 August 1991 following a detailed commission of enquiry led by Mary Warnock in the 1980s A similar model to the HFEA has been adopted by the rest of the countries in the European Union. The medicalization of infertility has unwittingly led to a disregard for the emotional responses that couples experience, which include distress, loss of control, stigmatization, and a disruption in the developmental trajectory of adulthood.[16] Infertility may have psychological effects. ICSI with Epididymal and Testicular Sperm Retrieval. (PDF, 1 MB) Male Sterility and Motility Disorders: Etiological Factors and Treatment, 1998.

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Previous sterilization treatment: In women who have chosen to have their fallopian tubes blocked, the process can be reversed, but the chances of becoming fertile again are not high. Undescended testicles During fetal development one or both testicles may fail to descend from the abdomen into the sac that normally contains the testicles.

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ARTs have made conception possible even for men with very low or abnormal sperm. Health problems such as mumps or hormone problems. The administration of hMG and its derivatives should be under the direct supervision of a reproductive endocrinologist. The Relationship of Abnormal Semen Parameters to Male Fertility. (PDF, 4 MB) Human Reproduction, 1989. Chemotherapy: Some chemotherapy drugs can result in ovarian failure. Recombination Between Palindromes P5 and P1 on the HUman Y Chromosome Causes Massive Deletions and Spermatogenic Failure. (PDF, 786 KB) The American Journal of Human Genetics, 2002. This is followed by transvaginal oocyte retrieval, co-incubation and then embryo transfer of a safe number of follicles, which in international guidelines is no more than two.[19] Other treatments[edit] Bromocriptine acts in a completely different manner to the other treatments mentioned above.


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See also
Infertility in Couples
Encouragement Secondary Infertility
Infertility or Subfertility