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If too many embryos develop, one or more can be removed. Polycystic ovary syndrome (PCOS): The ovaries function abnormally and ovulation may not occur.

Infertility is defined as a failure to conceive within one or more years of regular unprotected coitus. 389 KB ARTICLES FROM THE 1980s Microsurgical Reversal of Female Sterilization: The Role of Tubal Length. (PDF, 2 MB) Fertility and Sterility, 1980.

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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. Semen analysis The semen analysis is a very important test and should be done early in the evaluation process. Other tests include: ovarian reserve testing, to find out how effective the eggs are after ovulation genetic testing, to see if a genetic abnormality is interfering with fertility pelvic ultrasound, to produce an image of the uterus, fallopian tubes, and ovaries Chlamydia test, which may indicate the need for antibiotic treatment thyroid function test, as this may affect the hormonal balance Complications Some complications can result from infertility and its treatment.

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Endometriosis is usually more common in women in their mid-twenties and older, especially when postponed childbirth has taken place.[55] Another major cause of infertility in women may be the inability to ovulate. Modifiable and non-modifiable risk factors for poor semen quality: a case-referent study. Most typical are decreased libido, erectile dysfunction, orgasmic dysfunction, and ejaculatory dysfunction. Symptoms can also depend on what is causing the infertility. 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. Treatment of Cervical Factors Chronic cervicitis may be treated with antibiotics.

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Although relatively uncommon, eating disorders can negatively affect menstruation, fertility, and maternal and fetal well-being. Because sperm generation time is just over two months, it is recommended to wait three months before repeat sampling. Some causes, such as hyperprolactinemia, are reversible with proper treatment. These may be purchased over the counter and allow couples to predict the most fertile days in the cycle.