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Maternal age Infertility due to age is one of the most common causes of female infertility. Abnormalities may be a sign of a primary hypothalamic, pituitary, or testicular problem.Causes Causes generally can be divided into pretesticular, testicular, and post-testicular. If a severe sperm defect is discovered, the testing on the female partner should be modified, and therapy can be immediately directed to the sperm problem. Only an additional 7% of couples will conceive in the second year. The rest of the time, it is because of both partners or no cause can be found.

Treatment depends on the cause of infertility and varies from ovulation-inducing drugs to surgery to ART.Continued Hysteroscopy . In this procedure, your doctor places a hysteroscope into your uterus through your cervix. New Concepts in Operative Andrology: A Review. (PDF, 7 MB) International Journal of Andrology, 2000. Several studies have reported different causes of infertility [7-9]. Up to 25% of infertile men have idiopathic infertility.

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IVF and related techniques (ICSI, ZIFT, GIFT) are called assisted reproductive technology (ART) techniques. Cystic fibrosis: This is a chronic disease that results in the creation of a sticky mucus. Several methods are available to detect antisperm antibodies, such as radioimmunoassay and enzyme-linked immunosorbent assay, but the most specific test is the immunobead test.

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The vas deferens carries sperm from the epididymis to the ejaculatory duct and the urethra. Therefore, data estimating the prevalence of infertility cited by various sources differs significantly.[8] A couple that tries unsuccessfully to have a child after a certain period of time (often a short period, but definitions vary) is sometimes said to be subfertile, meaning less fertile than a typical couple. Source : Preserving your fertility - University of Kansas Hospital PPT Presentation Summary : Preserving your fertility. The initial dosage of clomiphene is 50 mg daily for five days starting on day 3 to 5 of the menstrual cycle. Epidemiological definition of infertility (for monitoring and surveillance) Women of reproductive age (15–49 years) at risk of becoming pregnant (not pregnant, sexually active, not using contraception and not lactating) who report trying unsuccessfully for a pregnancy for two years or more. (Reproductive Health Indicators) Infertility as a disability Disability: Infertility generates disability (an impairment of function), and thus access to health care falls under the Convention on the Rights of Persons with Disability. Having sex near the time of ovulation is the best way to increase the chance of becoming pregnant.

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Age: Male fertility starts to fall after 40 years. Effect of metformin on ovulation and reproductive outcomes in women with polycystic ovary syndrome: a meta-analysis of randomized controlled trials. The surgeon can remove implants and scar tissue, and this may reduce pain and aid fertility. MESA or TESA? (PDF, 115 KB) Human Reproduction, 1996. Disorders of sexual differentiation result in infertility (eg, hermaphroditism, pseudohermaphroditism). Cushing disease Increased cortisol levels cause a negative feedback on the hypothalamus, decreasing GnRH release. 3) Insemination: Intrauterine insemination, also known as IUI, is a process by which sperm is washed and prepared for placement into the uterine cavity, therefore bypassing the cervix and bringing a higher concentration of motile sperm closer to the tubes and ovulated egg. Congenital disorders and chryptorchidism (undescended testicles). Signs of Potential Infertility in Women In women, changes in the menstrual cycle and ovulation may be a symptom of a disease related to infertility.