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It is found in approximately 10-50% of reproductive-aged women and can be associated with infertility as well as pain during intercourse and/or menstrual periods. On the contrary to women, in which is the issue can more commonly be detected, most male fertility issues, other than those caused by infections, are unexplained. Couples may decide to go ahead regardless if the desire to become pregnant is very strong. Hystersalpingography (HSG): - usually after failed successive cycles of ovulation induction, and in some centres after failed IUI. - good predictive but requires expertise. Normal sperm have a smooth oval head approximately 3-5 μm long and 2-3 μm wide.

If a lack of sperm is suspected, surgery, hormones and assisted reproductive surgery can correct the problem. Secondary infertility When a woman is unable to bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth following either a previous pregnancy or a previous ability to carry a pregnancy to a live birth, she would be classified as having secondary infertility. There is a consistent association of Mycoplasma genitalium infection and female reproductive tract syndromes. Do you have any medical problems or prior surgeries? Smoking: Smoking significantly increases the risk of infertility in both men and women, and it may undermine the effects of fertility treatment. Dr Barbieri of Harvard Medical School has indicated that cases of anovulation are quite frequent in women with a BMI (body mass index) over 27 kg/m2.[6][7][8] Unfortunately, not only does excess weight have a negative impact on ovulation itself,[9] but also on treatment efficacy and outcomes of ART (assisted reproductive technique).[10][11] Diagnosis[edit] Fertility awareness and LH measurement[edit] Symptoms-based methods of fertility awareness may be used to detect ovulation or to determine that cycles are anovulatory.

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Other symptoms of endometriosis include: chronic pelvic pain (not only during menstruation) pain during sex back pain fatigue nausea irregular periods and spotting bowel problems or pain with bowel movements Dark or pale menstrual blood If menstrual blood is regularly paler than usual, this may be a cause for concern. Unfortunately, some men have to cope with the reality that nothing can be done about their infertility.

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They may benefit from referral to a physician comfortable with prescribing pulsatile administration of gonadotropin-releasing hormone or gonadotropins with luteinizing hormone activity to induce ovulation. Corticosteroids are usually used to reduce the production of testosterone. Unexplained causes of infertility and sterility Unfortunately, a basic fertility analysis cannot provide an answer for all causes of infertility and some remain unexplained. Overheated testicles: Causes include an undescended testicle, a varicocele, or varicose vein in the scrotum, the use of saunas or hot tubs, wearing tight clothes, and working in hot environments. In-vitro fertilization (IVF): Sperm are placed with unfertilized eggs in a petri dish, where fertilization can take place.

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If you’re worried about your fertility, the best thing to do is talk to your doctor. It was usual practice to talk about infertility in those cases where three or more pregnancy losses had occurred. Myth MYTH: If men ejaculate, they are fertile TRUTH: Ejaculation doesn't mean fertility. Controversies in OB/GYN: Is Varicocelectomy Useful for Treatment of Male-factor Infertility? (PDF, 4 MB)Contemporary OB/GYN, 2001. It is better for a couple to see the doctor together. Modifiable and non-modifiable risk factors for poor semen quality: a case-referent study. Only an additional 7% of couples will conceive in the second year. The doctor may ask about the couple's sexual habits and make recommendations regarding these. Trauma Testicular trauma is the second most common acquired cause of infertility. Live Birth Following Day Surgery Reversal of Female Sterilisation in Women Older then 40 Year: A Realistic Option in Australia? (PDF, 156 KB) Medical Journal of Australia, 2007.