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Fertility Evaluation: Obstetric and Gynecological History The obstetric and gynecological history should include: Reproductive history (children, mode of delivery, prematurity, stillbirth, extrauterine pregnancy, spontaneous and induced abortion, fertility and infertility in earlier relationships). Endometriosis can only be confirmed by surgery, usually laparoscopy. Thankfully, even when the cause of infertility is not known, various fertility treatments can overcome the unknown road block that was preventing pregnancy and eventually lead to delivery of a healthy baby. Normal cervical mucus to allow passage of the sperm to the upper genital tract.

If conception does not occur after many months or years of trying, it can lead to stress and possibly depression. Secondary infertility When a woman is unable to bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth following either a previous pregnancy or a previous ability to carry a pregnancy to a live birth, she would be classified as having secondary infertility. A smaller amount may suggest a structural or hormonal problem leading to deficient semen production; 2) sperm concentration – normal concentration should be at least 20 million sperm per 1 ml of semen.

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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. But the new standard suggests that the inability to find a suitable sexual partner could be considered an equal disability, The Daily Telegraph reports. When one year of sexual relationships without birth control measures has not lead to a pregnancy. In these methods, fertilization occurs inside the body. 3) Insemination: Intrauterine insemination, also known as IUI, is a process by which sperm is washed and prepared for placement into the uterine cavity, therefore bypassing the cervix and bringing a higher concentration of motile sperm closer to the tubes and ovulated egg.

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Malformation of the eggs themselves may complicate conception. Shaban says that often, there is embarrassment. “Guys confuse libido and potency with fertility. The identification of anovulation is not easy; contrary to what is commonly believed, women undergoing anovulation still have (more or less) regular periods. They get worried that they will be stereotyped.” Ross reminds men that “most problems with [reproduction] do not affect their ability to produce male hormones, their sexual function, or their maleness.” But even if things look bleak, the experts still have some hopeful advice: Keep trying. This process bypasses the normal fertilization process, which may be compromised due to poor sperm function. Hysterosalpingogram (HSG) – This test is essential for evaluating fallopian tubal patency, uterine filling defects such as fibroids and polyps, and scarring of the uterine cavity (Asherman syndrome).

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This was set up on 1 August 1991 following a detailed commission of enquiry led by Mary Warnock in the 1980s A similar model to the HFEA has been adopted by the rest of the countries in the European Union. 29 When the semen analysis is abnormal, referral to a male fertility specialist or reproductive endocrinologist is warranted. Blocked ovaries can start functioning again without a clear medical explanation. Diverse Spermatogenic Defects in Humans Caused by Y Chromosome Deletions Encompassing a Novel RNA-binding Protein Gene. (PDF, 2 MB) Human Reproduction, 1996.