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It can either be used to inspect and diagnose certain conditions or to surgically correct an abnormality such as removing scar tissue, endometriosis, or a damaged fallopian tube. Definition of Infertility Infertility is defined as the inability to conceive after 12 months of having sexual intercourse with average frequency, without the use of any form of birth control. A low testosterone level with a low FSH level signals a secondary cause. Some women have bilateral tubal occlusion, which is when both tubes are blocked.

Any condition that interferes with these events may result in infertility. Between 45 and 50 percent of cases are thought to stem from factors that affect the man.

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In addition to the alteration of menstrual periods and infertility, chronic anovulation can cause or exacerbate other long term problems, such as hyperandrogenism or osteopenia. Thyroid problems: An overactive or underactive thyroid gland can lead to a hormonal imbalance. Treatment of Anovulatory Conditions Jump to section + Women with WHO group I ovulatory disorders should be counseled to achieve a normal body weight. A history and physical examination can help direct the evaluation.

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Endometriosis Endometriosis is when the tissue of the uterine lining grows outside of the uterus. Some medications increase the risk of fertility problems in men. Intra-uterine insemination for male subfertility. There may be testicular malformations, hormone imbalance, or blockage of the man's duct system.

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A routine part of the initial evaluation is testing of specific serum hormone levels, which usually includes FSH, LH, testosterone, and prolactin. 0.[44] Environmental factors Toxins such as glues, volatile organic solvents or silicones, physical agents, chemical dusts, and pesticides.[45][46] Tobacco smokers are 60% more likely to be infertile than non-smokers.[47] German scientists have reported that a virus called adeno-associated virus might have a role in male infertility,[48] though it is otherwise not harmful.[49] Other diseases such as chlamydia, and gonorrhea can also cause infertility, due to internal scarring (fallopian tube obstruction).[50][51][52] Alimentary habits[53] Obesity: The obesity epidemic has recently become is a serious issue, particularly in industrialized nations. Feedback inhibition is from testosterone and inhibin. If a tube is blocked and filled with fluid (called a hydrosalpinx), then minimally invasive surgery (laparoscopy or hysteroscopy) to either remove the tube or block/separate it from the uterus prior to any fertility treatments is recommended. Exercise: Both too much and too little exercise can lead to fertility problems. The Avon Longitudinal Study of Pregnancy and Childhood Study Team. Irregular ovulation can be due to many issues, including polycystic ovary syndrome (PCOS), obesity, being underweight, and thyroid issues.