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Any condition that interferes with these events may result in infertility. As the amount of adipose tissue increases, there is more aromatase available to convert androgens, and serum estradiol levels increase. Records of one of the primary fertility awareness signs—basal body temperature—can detect ovulation by identifying the shift in temperature which takes place after ovulation. One third of the time, it is a problem with the woman. Ovulation induction agents increase the risk of multiple pregnancy, ovarian hyperstimulation syndrome, and thrombosis, and they may increase the risk of ovarian cancer in women who remain nulliparous.

Broekmans FJ, Kwee J, Hendriks DJ, Mol BW, Lambalk CB. This indicates whether the fallopian tubes are open or blocked. About 92 out of 100 couples who are trying to get pregnant do so within two years.[citation needed] Women become less fertile as they get older. Treatment of tubal obstruction generally requires referral for subspecialty care. Tests and trials are available, but testing does not always reveal a specific cause. Algorithm for infertility evaluation. (ART = assisted reproductive technology.) Infertility Evaluation Figure 1.

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The most commonly prescribed pill to stimulate ovulation (generally of one mature egg) is clomiphene citrate. According to the literature survey, the most common causes of infertility are: male factor [5,7-9,13-15] such as sperm abnormalities [9,13,15], female factor [7-9,14-16] such as ovulation dysfunction [7,8] and tubal pathology [7-9], combined male and female factors [7,9,14,15] and unexplained infertility; where no obvious cause could be detected [7-9]. 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.

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Infertility is due to hypogonadotropic hypogonadism. Dealing with Fertility Problems After Vasectomy Reversal. (PDF, 7 MB) Contemporary OB/GYN, 1978. These include: Infrequent menstrual periods: When a woman has regular menstrual periods, defined as regular cycles occurring every 21 to 35 days, this almost always indicates that she ovulates regularly.

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Successful Pregnancy and Delivery after Calcium Ionophore Oocyte Activation in a Normozoospermic Patient with Previous Failed Fertilization after Intracytoplasmic Sperm Injection. (PDF, 57 KB) Fertility and Sterility, 2003. Vitrification of oocytes from endangered Mexican gray wolves (Canis lupus baileyi). (PDF, 319 KB) Theriogenology, 2010. Religious leaders' opinions on fertility treatments; for example, the Roman Catholic Church views infertility as a calling to adopt or to use natural treatments (medication, surgery, or cycle charting) and members must reject assisted reproductive technologies. Continued For some men, no male infertility treatments seem to help. Government, the Department of Defense, or the Department of the Air Force. If the woman is age 35 years or older, she should see a healthcare provider after six months of trying to get pregnant. If the response is exaggerated, with more than 5 sizable follicles (18 mm in diameter), and the E2 level is greater than 2500 pc/mL, cancelling the ovulation is better to avoid the risk of ovarian hyperstimulation syndrome and a high order of multiple pregnancy.