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It varies with the age (the optimal female age is between 23 and 39 years) and with body weight (the ideal body mass index is between 19 and 30). Society and culture[edit] Perhaps except for infertility in science fiction, films and other fiction depicting emotional struggles of assisted reproductive technology have had an upswing first in the latter part of the 2000s decade, although the techniques have been available for decades.[76] Yet, the number of people that can relate to it by personal experience in one way or another is ever growing, and the variety of trials and struggles is huge.[76] Pixar's Up contains a depiction of infertility in an extended life montage that lasts the first few minutes of the film.[77] Other individual examples are referred to individual subarticles of assisted reproductive technology Ethics[edit] There are several ethical issues associated with infertility and its treatment. Cryptorchidism An estimated 3% of full-term males are born with an undescended testicle, but fewer than 1% remain undescended by age 1 year. An ultrasound scan can detect an ectopic pregnancy. Radiation therapy: This can impair sperm production. The mature oocytes are put onto a special culture medium and stored in the incubator.

An abnormal semen analysis warrants a further evaluation usually by a reproductive urologist. The most common identifiable causes of female fertility problems are outlined below: • Ovulatory dysfunction, (or anovulation) where an egg is not released from the ovary every month, is the single most common cause of female infertility.

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Anabolic steroids: Popular with bodybuilders and athletes, long-term use can seriously reduce sperm count and mobility. ARTICLES FROM THE 1990s Microsurgery, Andrology, and Its Role in IVF. (PDF, 6 MB) Chapter in text book, Advances in Assisted Reproductive Technology, 1990. DEFINITION OF TERMS Source : Endometriosis & infertility PPT Presentation Summary : Fertility Issues. Endometrial biopsy should be performed only in women with suspected pathology (chronic endometritis or neoplasia).

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Lack of estrogen brings about decreased spinnbarkeit of the cervical mucus. The initial dose is 500 mg PO qd for 7 days, then 500 mg bid for another 7 days, and, finally, 500 mg tid.

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The dynamics of stress in fertile and infertile couples. You take gonadotropins that trigger the development of more than one egg. When the syndrome occurs, the treatment is to be made symptomatically. The use of aromatase inhibitors for ovulation induction in premenopausal women is controversial due to the possibility of fetal toxicity and fetal malformations raised by one abstract. [172] However, 2 subsequent publications have shown no evidence of fetal malformations with the letrozole and no difference in birthweight compared with spontaneous conceptions. [173, 174] Furthermore, based on the half-life of each drug, administration in the early follicular phase should result in clearance of the aromatase inhibitors before implantation takes place. Some men respond with an increase in testosterone levels; many also recover normal sperm counts. Being obese or overweight: This can increase the risk of infertility in women as well as men. If you’re having trouble conceiving, you are certainly not alone. In 10% of cases, alterations in the chemical signals from the hypothalamus can easily seriously affect the ovaries. Submucosal fibroids: Benign or non-cancerous tumors occur in the muscular wall of the uterus. 6 The initial history should cover menstrual history, timing and frequency of intercourse, previous use of contraception, previous pregnancies and outcomes, pelvic infections, medication use, occupational exposures, substance abuse, alcohol intake, tobacco use, and previous surgery on reproductive organs. These may cause abortion, neonatal death, fetal resorption, and apparent infertility. Poor egg quality: Eggs that are damaged or develop genetic abnormalities cannot sustain a pregnancy.