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The enzyme aromatase is responsible for this conversion, and is found primarily in adipose tissue. For a woman to conceive, certain things have to happen: vaginal intercourse must take place around the time when an egg is released from her ovary; the system that produces eggs has to be working at optimum levels; and her hormones must be balanced.[54] For women, problems with fertilisation arise mainly from either structural problems in the Fallopian tube or uterus or problems releasing eggs.
Fresh Ovarian Tissue and Whole Ovary Transplantation. (PDF, 373 KB) Seminars in Reproductive Medicine, 2009. Male infertility tests: Going under the microscope Identifying the cause of a man's infertility is as much an art as a science. “The first step is an evaluation by a physician specializing in male infertility,” says Stephen Shaban, MD, a urologist specializing in male reproductive medicine and microsurgery in Raleigh, North Carolina.
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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. A relationship also exists between obesity and erectile dysfunction (ED). Other conditions that affect the quality and quantity of sperm include: Primary testicular failure.
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Existing definitions of infertility lack uniformity, rendering comparisons in prevalence between countries or over time problematic. Women with anovulation may be treated in the primary care setting with clomiphene to induce ovulation. IVF and other fertility treatments have resulted in an increase in multiple births, provoking ethical analysis because of the link between multiple pregnancies, premature birth, and a host of health problems. The testicles will be checked for lumps or deformities, and the shape and structure of the penis will be examined for abnormalities.
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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. For patients with a history of endometriosis, pelvic infections, or ectopic pregnancy, evaluation with hysteroscopy or laparoscopy is recommended. The hypothalamus also produces thyrotropin-releasing hormone (TRH) and vasoactive intestinal peptide (VIP), both of which stimulate prolactin release from the anterior pituitary, and dopamine, which inhibits prolactin release. Both pituitary insufficiency and pituitary excess cause infertility. The Relationship of Abnormal Semen Parameters to Male Fertility. (PDF, 4 MB) Human Reproduction, 1989. In some cases, hormonal problems may be suspected if a man has abnormal hair growth, low libido, or other indications of sexual dysfunction. 40 Patients using these agents should be counseled about these risks. In such circumstances, it is recommended not to prescribe any medication until all basic investigations are done and its results received. The success rate of tubocornual anastomosis ranges from 20-58%. Your doctor may ask you many of the following questions: How long have you been trying to get pregnant? If oligospermia or azoospermia is noted, hypogonadism should be suspected.
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See also
Infertility Compatibility Test
Common Infertility Problems
Infertility Hospital Secunderabad