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Gerrits T, Shaw M (2010). "Biomedical infertility care in sub-Saharan Africa: a social science review of current practices, experiences and view points". The pituitary gland controls most other hormonal glands in the human body. Artificial Insemination In this process, male sperm is introduced into the female genital tract in order to achieve fertilization. The emotional toll on both partners can affect their relationship. A normal testicle contains 600-1200 seminiferous tubules with a total length of approximately 250 meters. Testicular Neoplasm in Father and Son. (PDF, 561 KB) The Journal of Urology, 1972.

In some patients, secondary sex characteristics develop normally, but they are usually completed late. This test is usually performed in a radiology facility About 25% of all infertility is due to a tubal factor Laparoscopy This is a surgical procedure and should not be performed until the basic testing has been done on both partners. The resulting injuries can result in perforated organs and can also lead to peritonitis.[medical citation needed] There may be an increased risk of hypothermia and peritoneal trauma due to increased exposure to cold, dry gases during insufflation.

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During this time, the cells cross from the basal to the adluminal compartments. Several studies indicate that in some cases, a simple change in lifestyle could help patients suffering from anovulation. United Kingdom[edit] In the UK, previous NICE guidelines defined infertility as failure to conceive after regular unprotected sexual intercourse for two years in the absence of known reproductive pathology.[11] Updated NICE guidelines do not include a specific definition, but recommend that "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, should be offered further clinical assessment and investigation along with her partner, with earlier referral to a specialist if the woman is over 36 years of age."[12] Other definitions[edit] Researchers commonly base demographic studies on infertility prevalence on a five-year period.[13] Practical measurement problems, however, exist for any definition, because it is difficult to measure continuous exposure to the risk of pregnancy over a period of years.

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Most people will have the strong desire to conceive a child at some point during their lifetime. Overheated testicles: Causes include an undescended testicle, a varicocele, or varicose vein in the scrotum, the use of saunas or hot tubs, wearing tight clothes, and working in hot environments. The rising number of obese individuals may be due in part to an energy-rich diet as well as insufficient physical exercise.  In addition to other potential health risks, obesity can have a significant impact on male and female fertility. Therefore, any pituitary malfunctioning affects other glands under its influence, including the ovaries. CAH may be due to the congenital deficiency of one of several adrenal enzymes, the most common of which is 21-hydroxylase deficiency.

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Other causes of ovulation disorders include ovarian insufficiency and hypothalamic amenorrhea. One of such conditions is a varicocele – one of the major causes of male infertility – that occurs when a vein that carries blood out of the scrotum dilates. If necessary, they refer patients to a fertility clinic or local hospital for more specialized tests. It has been proven useful in overcoming infertility conditions, such as blocked or damaged tubes, endometriosis, repeated IUI failure, unexplained infertility, poor ovarian reserve, poor or even nil sperm count. Removal of polyps by the minimally invasive procedure hysteroscopy is associated with a doubling of pregnancy rate. Cabergoline is associated with fewer side effects but is more expensive.