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Bhaskar Dutta/Photoshare Clinical definitions Infertility is “a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse.”… (WHO-ICMART glossary1). “Infertility is the inability of a sexually active, non-contracepting couple to achieve pregnancy in one year. Mittelschmerz and premenstrual symptoms tend to be absent or reduced when a woman is anovulatory.

Microscopic Technique for Reversal of Vasectomy. (PDF, 3 MB) Surgery, gynecology & obstetrics, 1976. Not being able to ovulate because of hormonal imbalance.Fertility Articles – PDF Archive | Infertility Center If you have any questions, you may call us at  (314) 576-1400. Especially in men, psychological explanations should be considered as they are frequently the cause of sexual dysfunctions. However, future pregnancy is possible with the other ovary and tube. Gerrits T, Shaw M (2010). "Biomedical infertility care in sub-Saharan Africa: a social science review of current practices, experiences and view points". Men with elevated prolactin levels present with gynecomastia, diminished libido, erectile dysfunction, and occasionally galactorrhea.

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Spermiogenic defects may also be a cause of sterility. Irregular ovulation can be due to many issues, including polycystic ovary syndrome (PCOS), obesity, being underweight, and thyroid issues. Gerrits T, Shaw M (2010). "Biomedical infertility care in sub-Saharan Africa: a social science review of current practices, experiences and view points".

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Some causes are more common in some countries than others, such as pelvic inflammatory diseases (PID) and sexually transmitted infections (STI) in Africa [10]. As many as 25 to 35% of “infertile” couples will go on to eventually have a child without any treatment.Loading The most common cause of infertility in dogs and cats is related to husbandry problems. Existing definitions of infertility lack uniformity, rendering comparisons in prevalence between countries or over time problematic. Alcohol: Any amount of alcohol consumption can affect the chances of conceiving. Those motile and viable sperm are then placed in a very small amount of solution, and then very gently and painlessly injected into the uterine cavity using a very thin, soft, and flexible catheter. Many countries have special frameworks for dealing with the ethical and social issues around fertility treatment.

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Requirements for Male Fertility (Continued) The ability to transmit the spermatozoa to the female vagina is also important. The increase of gonadotropins can provoke ovulation. The follicle should develop to a diameter of 23-24 mm before a spontaneous LH surge occurs. Testing may begin with a physical exam and questions about past medical problems. One of such conditions is a varicocele – one of the major causes of male infertility – that occurs when a vein that carries blood out of the scrotum dilates. Hypogonadotropic Hypopituitarism: Low pituitary gland output of LH and FSH.  This condition arrests sperm development and causes the progressive loss of germ cells from the testes and causes the seminiferous tubules and Leydig (testosterone producing) cells to deteriorate.  May be treated with the drug Serophene.  However, if all germ cells are destroyed before treatment commences, the male may be permanently infertile. Treatment[edit] Treatment depends on the cause of infertility, but may include counselling, fertility treatments, which include in vitro fertilization. The volume provides clear guidelines and a logical sequence of steps which will quickly lead the clinician or physician to an accurate diagnosis of the underlying cause of infertility. Diagnosis Most people will visit a physician if there is no pregnancy after 12 months of trying. BMI (body mass index) may be a significant factor in fertility, as an increase in BMI in the male by as little as three units can be associated with infertility. Women who are at risk, including those on a vegan diet, should ask the doctor about supplements. Sterility can affect both men and women, with the cause involving either one or both parties.