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WHAT'S THE DIFFERENCE BETWEEN PRIMARY AND SECONDARY STERILITY? 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. Small calculi may block the ejaculatory ducts, or prostatic cysts may extrinsically block the ducts.

If you and your partner agree, extra embryos can be frozen and saved to use later. We recommend immediate evaluation for a couple attempting pregnancy when the woman has a prior history of pelvic infection. Group II: hypothalamic-pituitary-ovarian dysfunction (predominately polycystic ovary syndrome). Clinical diagnostic testing for the cytogenetic and molecular causes of male infertility: the Mayo Clinic experience. 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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If he has two X chromosomes and one Y chromosome, as in Klinefelter's syndrome, the testicles will develop abnormally and there will be low testosterone and a low sperm count or no sperm. Treatment of Anovulatory Conditions Jump to section + Women with WHO group I ovulatory disorders should be counseled to achieve a normal body weight. 1 Among couples 15 to 44 years of age, nearly 7 million have used infertility services at some point. There is a consistent association of Mycoplasma genitalium infection and female reproductive tract syndromes. Non-steroidal anti-inflammatory drugs (NSAIDs): Long-term use of aspirin or ibuprofen may make it harder to conceive. Women in group III can conceive only with oocyte donation and in vitro fertilization.

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Renal Echinococcus. (PDF, 1 MB) The Journal of Urology, 1972. Its use has been extended to assisted reproduction technologies. Open-ended Vasectomy, Sperm Granuloma, and Postvasectomy Orchialgia. (PDF, 13 MB) Fertility and Sterility, 1979. If the woman is age 35 years or older, she should see a healthcare provider after six months of trying to get pregnant. In patients with varicocele, there is insufficient evidence to suggest corrective surgery will increase live birth rates, despite improvement in semen analysis results.

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Patients with azoospermia should have a postejaculatory urine sample analyzed for sperm, should be evaluated for ejaculatory duct obstruction, and should undergo a hormonal evaluation. The problem is getting the sperm where they need to go. She will also undergo a gynecologic examination and a number of tests: Laparoscopy involves inserting a thin tube with a camera on to investigate and possibly remove unwanted tissue. The use of Epididymal and Testicular Spermatozoa for Intracytoplasmic Sperm Injection: The Genetic Implications for Male Infertility. (PDF, 8 MB) Human Reproduction, 1995. Panhypopituitafism: Complete pituitary gland failure--lowers growth hormone, thyroid-stimulating hormone, and LH and FSH levels.  Symptoms include:  lethargy, impotence, decreased libido, loss of secondary sex characteristics, and normal or undersized testicles.  Supplementing the missing pituitary hormones may restore vigor and a hormone called hCG may stimulate testosterone and sperm production. Follicle-stimulating hormone (Gonal-F, Bravelle): This hormone is produced by the pituitary gland that controls estrogen production by the ovaries.