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As they respond to hormones the same way as they would do in the uterus, that is by growing and shedding cyclically, endometriosis can cause both fallopian tube and ovarian scarring. Exposure to chemicals: Pesticides, for example, may increase the risk. There may be testicular malformations, hormone imbalance, or blockage of the man's duct system.

Abnormal sperm: The sperm may have an unusual shape, making it harder to move and fertilize an egg. IVF treatment may be suggested if IUI is not successful or appropriate, or if female infertility is a contributing problem.

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Trauma, previous attempts at sperm aspiration, and inguinal surgery may also result in ductal blockage. The most common disorders impacting ovulation include polycystic ovary syndrome (PCOS), hypogonadotropic hypogonadism (from signaling problems in the brain), and ovarian insufficiency (from problems of the ovary).

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Lifetime prevalence of infertility and infertility treatment in the UK: results from a population-based survey of reproduction. Fibroids Non-cancerous growths called fibroids in or around the womb can affect fertility. The sample should be processed within 1 hour, and 2-3 samples (at a minimum of 2-3 days apart) should be evaluated because of daily variations in sperm number and quality. Common causes of infertility of females include: ovulation problems (e.g. polycystic ovarian syndrome, PCOS, the leading reason why women present to fertility clinics due to anovulatory infertility.[58]) tubal blockage pelvic inflammatory disease caused by infections like tuberculosis age-related factors uterine problems previous tubal ligation endometriosis advanced maternal age immune infertility Males[edit] The main cause of male infertility is low semen quality. It is important to tell a doctor if excessive mental and emotional stress develop. In some cases, simply removing the submucosal fibroid solves infertility.

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Semen and sperm Sometimes the sperm cannot travel effectively to meet the egg. It can also help if a man has severe erectile dysfunction. Furthermore, as aging occurs, egg quality, or the likelihood of an egg being genetically normal, decreases. Obesity and increased risk for oligozoospermia and azoospermia. Testosterone is a key hormone for male fertility, so problems with the testes that produce this hormone may lead to infertility. Primary infertility When a woman is unable to ever bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth she would be classified as having primary infertility.