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Women with regular menstrual cycles are likely to be ovulating and should be offered serum progesterone testing at day 21 to confirm ovulation. Paternal age > or = 40 years: an important risk factor for infertility.

Medication. If you have ovulation problems, you may be prescribed drugs such as clomiphene citrate (Clomid, Serophene), gonadotropins (such as Gonal-F, Follistim, Humegon and Pregnyl), or letrozole. 1 Among couples 15 to 44 years of age, nearly 7 million have used infertility services at some point.

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Other factors that can affect a woman's chances of conceiving include being overweight or underweight,[56] or her age as female fertility declines after the age of 30.[57] Sometimes it can be a combination of factors, and sometimes a clear cause is never established. Hypothyroidism: Low thyroid hormone levels--can cause poor semen quality, poor testicular function and may disturb libido.  May be caused by a diet high in iodine.  Reducing iodine intake or beginning thyroid hormone replacement therapy can elevate sperm count.  This condition is found in only 1 percent of infertile men. Bushnik T, Cook JL, Yuzpe AA, Tough S, Collins J. 7 million women reported impaired ability to get pregnant or carry a baby to term. Article Sections Infertility is defined as the inability to achieve pregnancy after one year of regular, unprotected intercourse. 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.

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A bicornuate uterus is characterized by the presence of an indentation at the fundus. Low sperm mobility (motility): The sperm cannot "swim" as well as they should to reach the egg.

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The best candidates for tubal reanastomosis are patients who had tubal ligation by the method of fallopian ring, Filshie clip, or Pomeroy. [144] The pregnancy rate following a tubal reanastomosis performed by a skilled surgeon fluctuates from 70-80%. The follicle should develop to a diameter of 23-24 mm before a spontaneous LH surge occurs. Defects of tubules that transport sperm There are many different tubes that carry sperm. Experts differ as to when genetic tests should be done. 6,8,23 A high FSH level (10 to 20 mIU per mL [10 to 20 IU per L]) drawn on day 3 of the menstrual cycle is associated with infertility. Semen and sperm Sometimes the sperm cannot travel effectively to meet the egg. Algorithm for infertility evaluation. (ART = assisted reproductive technology.) Infertility Evaluation Figure 1.