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Exposure to chemicals: Pesticides, for example, may increase the risk. Thus those who repeatedly spontaneously miscarry or whose pregnancy results in a stillbirth, or following a previous pregnancy or a previous ability to do so, are then not unable to carry a pregnancy to a live birth would present with secondarily infertile. (Trends in prevalence4).WHO manual for the standardized investigation and diagnosis of the infertile couple This concise 1993 volume proposes a standardized approach to the investigation of infertility. Its treatment depends on the etiologic factor, but, in many instances, the underlying cause remains unknown. Incidence and main causes of infertility in a resident population (1,850,000) of three French regions (1988–1989).

The dynamics of stress in fertile and infertile couples. In vitro fertilization[edit] IVF is the most commonly used ART.

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Causes of male infertility include Physical problems with the testicles Blockages in the ducts that carry sperm Hormone problems A history of high fevers or mumps Genetic disorders Lifestyle or environmental factors About a third of the time, infertility is because of a problem with the man. Prolactin stimulates milk production during breastfeeding. Antibodies against the sperm in the cervical mucus particularly often occur in sterile marriages. Laboratory studies have suggested that long-term acetaminophen use during pregnancy may affect fertility in males by lowering testosterone production. Sermondade N, Faure C, Fezeu L, Lévy R, Czernichow S; Obesity-Fertility Collaborative Group.

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Female age of 35 years or older: For unclear reasons, egg numbers decrease at a rapid rate as women age. Earn up to 6 CME credits per issue.     To see the full article, log in or purchase access. It works in the following way: Clomiphene is an anti-estrogen. The views expressed in this material are those of the authors, and do not reflect the official policy or position of the U. Intrauterine insemination. For this procedure, after semen gets rinsed with a special solution, a doctor places it into your uterus when you're ovulating.

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Legal, cultural and religious inquiries have limited the available choices in some countries, such as the use of donor sperms or oocytes. Twelve months is the lower reference limit for Time to Pregnancy (TTP) by the World Health Organization.[7] a woman over 35 has not conceived after six months of contraceptive-free sexual intercourse. Segmental dysplasia is defined as a vas deferens with at least 2 distinct sites of vasal obstruction. The testicles will be checked for lumps or deformities, and the shape and structure of the penis will be examined for abnormalities. However, some have suggested that patients should avoid conception for 6 months to 2 years after completion of radiation therapy because of the possibility of chromosomal aberrations in their sperm caused by the mutagenic properties of radiation therapy. Overweight or obesity: This may reduce the chance of conceiving.