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WHO Manual for the Standardized Investigation and Diagnosis of the Infertile Couple. Female factor infertility is typically to blame 40 percent of the time, while male factor infertility is the cause of issues 30 to 40 percent of the time. The menopause is premature when it occurs before 40 years of age. Ross says it might suggest a blockage in the “plumbing” that can be corrected with surgery.

The only known risk factor for Klinefelter syndrome is advanced maternal age. Infertility may be caused by blockage of the Fallopian tube due to malformations, infections such as chlamydia or scar tissue. After in vitro fertilization, your doctor transfers the fertilized eggs into your uterus.Continued Hysteroscopy . In this procedure, your doctor places a hysteroscope into your uterus through your cervix. Your physician will examine you carefully to determine if you have fibroids and if removal is necessary. Article Sections Infertility is defined as the inability to achieve pregnancy after one year of regular, unprotected intercourse.

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World Health Organization[edit] The World Health Organization defines infertility as follows:[10] United States[edit] One definition of infertility that is frequently used in the United States by reproductive endocrinologists, doctors who specialize in infertility, to consider a couple eligible for treatment is: a woman under 35 has not conceived after 12 months of contraceptive-free intercourse. Treatment is with exogenous gonadotropins and iron-chelating therapy. Castration of the affected testis may allow the other testis to regain its ability to produce sperm, but the prognosis is guarded. Ultrasound can detect uterine abnormalities such as fibroids and polyps, distal fallopian tube occlusion, and ovarian abnormalities including ovarian cysts.

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Hofherr SE, Wiktor AE, Kipp BR, Dawson DB, Van Dyke DL. The most commonly prescribed pill to stimulate ovulation (generally of one mature egg) is clomiphene citrate. Unexplained infertility In the UK, unexplained infertility accounts for around 25% of cases of infertility.

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Torsion: Is a common problem affecting fertility that is caused by a supportive tissue abnormality which allows the testes to twist inside the scrotum which is characterized by extreme swelling.  Torsion pinches the blood vessels that feed the testes shut which causes testicular damage.  If emergency surgery is not performed to untwist the testes, torsion can seriously impair fertility and cause permanent infertility if both testes twist. Additionally, there is concern that the stress of a strict schedule for intercourse may lead to reduced frequency of intercourse. What Forms of Male Infertility are there left to Cure? (PDF, 2 MB) Human Reproduction, 1995. The identification of anovulation is not easy; contrary to what is commonly believed, women undergoing anovulation still have (more or less) regular periods. Quantitative Analysis of Testicle Biopsy: Determination of Partial Obstruction and Prediction of Sperm Count after Surgery for Obstruction. (PDF, 4 MB) Fertility and Sterility, 1981. Some causes, such as hyperprolactinemia, are reversible with proper treatment. Ectopic pregnancy This is when a fertilized egg implants outside the womb, usually in a fallopian tube.