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2) Ovulation disorders: Normal and regular ovulation, or release of a mature egg, is essential for women to conceive naturally. Semm established several standard procedures that were regularly performed, such as ovarian cyst enucleation, myomectomy, treatment of ectopic pregnancy and finally laparoscopic-assisted vaginal hysterectomy (nowadays termed as cervical intra-fascial Semm hysterectomy).

Out of this group, the following statistics on the cause of infertility generally apply: One-third of couples will discover fertility problems in only the man. As the amount of adipose tissue increases, there is more aromatase available to convert androgens, and serum estradiol levels increase. However, these tests have only poor to moderate predictive value despite widespread use.

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As the duration of treatment prolonged, psychological suffering is likely to increase [6]. They can also carry out some basic tests on both partners to see if there is an identifiable reason for not having achieved a pregnancy.

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Ovarian dysfunction, when a woman’s ovaries are not producing eggs, or egg production has diminished due to hormonal imbalance, age or other factors. Female factor Dysfunction of the female reproductive organs is also apparent in around 40% of infertile couples. Duration of Fertility after Fresh and Frozen Ovary Transplantation. (PDF, 606 KB) Fertility and Sterility, 2010. Hormonal analysis Around 3% of cases of male infertility are estimated to be due primarily to a hormonal cause. Microscopic Vasovasostomy and Spermatogenesis. (PDF, 1 MB) The Journal of Urology, 1977.

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Evaluation may be initiated sooner in patients who have risk factors for infertility or if the female partner is older than 35 years. Reversal of Vasectomy and the Treatment of Male Infertility. (PDF, 4 MB) Urologic Clinics of North America, 1981. Medical treatment is a temporary treatment, ideally used for patients who are close to menopause or who are risky surgical candidates. Transvaginal ultrasound – Ultrasound is an important tool in evaluating the structure of the uterus, tubes, and ovaries. Key to the diagnosis of male infertility is a semen analysis, which assesses primarily sperm numbers, sperm movement and sperm form. Epidemiological definition of infertility (for monitoring and surveillance) Women of reproductive age (15–49 years) at risk of becoming pregnant (not pregnant, sexually active, not using contraception and not lactating) who report trying unsuccessfully for a pregnancy for two years or more. (Reproductive Health Indicators) Infertility as a disability Disability: Infertility generates disability (an impairment of function), and thus access to health care falls under the Convention on the Rights of Persons with Disability. An ultrasound scan can detect an ectopic pregnancy. Ultrasound: This may reveal issues such as ejaculatory duct obstruction or retrograde ejaculation.