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The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999. Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatment. Varicocele and male factor infertility treatment: a new meta-analysis and review of the role of varicocele repair. Demographic definitions of infertility An inability of those of reproductive age (15-49 years) to become or remain pregnant within five years of exposure to pregnancy. (DHS2) An inability to become pregnant with a live birth, within five years of exposure based upon a consistent union status, lack of contraceptive use, non-lactating and maintaining a desire for a child. (Trends in prevalence4). The cause of sterility can also be found in the tubes. Through this process, gaps in knowledge and key areas of research required in developing countries and low resource settings will be identified.

Testosterone and multiple hormones made in the brain control sperm production. The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999. Many uterine and tubal abnormalities detected by the HSG can be surgically corrected. Radiation therapy: This can impair sperm production. Reduced secretion of cervical mucus due to destruction of the endocervical glands by previous cervical conization, freezing, or laser vaporization responds poorly to low-dose estrogen therapy. Vasectomy Reversal. (PDF, 733 KB) The New England Journal of Medicine, 1977.

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The good news is that most cases of male infertility can be resolved either by treating the problem or using fertility treatments. Laparoscopy with hydrotubation - if the clinical situation suggests this is required . In another 30% of all cases, the cause is in the male partner. Suspect antisperm antibodies when semen analysis reveals abnormal clumping, agglutination, unexplained decreased motility, or an abnormal postcoital test result.

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Factors affecting Fertility Frequency/Timing of sexual intercourse: - Every 2 to 3 days optimises the chance of pregnancy Obesity: - Women who have BMI of over 30 should be informed that they are likely to take longer to conceive and will affect treatment success rates. Illegal drugs: Consumption of marijuana and cocaine can lower the sperm count.

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The doctor or WHNP may also be able to suggest lifestyle changes to increase the chances of conceiving.[65] Women over the age of 35 should see their physician or WHNP after six months as fertility tests can take some time to complete, and age may affect the treatment options that are open in that case. 8-Mb Deletion in the Azoospermia Factor c Region. (PDF, 332 KB) Genomics, 2004. Carcinoma in the Bladder Left Behind. (PDF, 3 MB) The Journal of Urology, 1973. The main causes of tubal infertility are pelvic infections caused by bacteria such as chlamydia, previous abdominal disease or surgery and ectopic pregnancy. • Endometriosis is characterised by excessive growth of the lining of the uterus. Treatment[edit] Treatment depends on the cause of infertility, but may include counselling, fertility treatments, which include in vitro fertilization. Surgical procedure to conserve the uterus for future pregnancy in patients suffering from massive adenomyosis.(PDF, 958 KB) Reproductive BioMedicine Online, 2010. Ovulation disorders can be due to: Premature ovarian failure: The ovaries stop working before the age of 40 years. Effect of metformin on ovulation and reproductive outcomes in women with polycystic ovary syndrome: a meta-analysis of randomized controlled trials. After reaching its ampullary portion behind the bladder, the vas joins with the seminal vesicles, at the ejaculatory duct, which empties next to the verumontanum of the prostate. Women in group II include those with polycystic ovary syndrome and hyperprolactinemia. They can include: Changes in hair growth Changes in sexual desire Pain, lump, or swelling in the testicles Problems with erections and ejaculation Small, firm testicles   When to See the Doctor If you are under 35 and have been trying to get pregnant without success for a year, see your doctor. Both infertility and subfertility are defined as the inability to conceive after a certain period of time (the length of which vary), so often the two terms overlap. Any abnormality in the tubes can affect or impede conception: hydrosalpinx, tubal occlusion or salpingitis.