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After in vitro fertilization, your doctor transfers the fertilized eggs into your uterus.Causes of Infertility A problem in any one of a number of key processes can result in infertility. RE: The Impalpable Testis: A Rational Approach to Management. (PDF, 389 KB) The Journal of Urology, 1979.

Source : Preserving your fertility - University of Kansas Hospital PPT Presentation Summary : Preserving your fertility. Gerrits T, Shaw M (2010). "Biomedical infertility care in sub-Saharan Africa: a social science review of current practices, experiences and view points". In the United Kingdom, it is estimated that one in six couples would complaint of infertility [3].

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Infection An increased number of white blood cells in the semen may be observed in patients with infectious or inflammatory processes of the genital tract. Ovulation problems can be a result of:  polycystic ovary syndrome (PCOS) thyroid problems – both an overactive thyroid gland and an underactive thyroid gland can prevent ovulation premature ovarian failure – where a woman's ovaries stop working before the age of 40 Scarring from surgery Pelvic surgery can damage and scar the fallopian tubes, which link the ovaries to the womb.

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Some causes can be easily detected and treated, whereas others cannot. Other hormones including inhibin B and leptin, may also be affected by obesity. 2012;27(8):2396–2404.   Want to use this article elsewhere? Many of these treatment options may have harmful or unpleasant side effects such as nausea, headaches and weight gain.

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Epidemiology[edit] Prevalence of infertility varies depending on the definition, i.e. on the time span involved in the failure to conceive. The Strassman metroplasty consists of performing an incision at the fundus of the uterus between both cornual areas and closing the defect with an anteroposterior suture. Obesity and increased risk for oligozoospermia and azoospermia. PID can damage and scar the fallopian tubes, making it virtually impossible for an egg to travel down into the womb. The majority of men with varicocele present no symptoms. A blood test done on days 21 or 22 of a normal 28-day menstrual cycle can be used to test whether ovulation has occurred by measuring the progesterone level. Reducing the risk of multiple pregnancies Injectable fertility drugs can sometimes result in multiple births, for example, twins or triplets. A history and physical examination can help direct the evaluation. Before anastomosis, evaluate the patient using HSG and laparoscopy findings to measure how far proximal and distal fragments of the fallopian tubes remain from the tubal ligation. Surgical procedure to conserve the uterus for future pregnancy in patients suffering from massive adenomyosis.(PDF, 958 KB) Reproductive BioMedicine Online, 2010. Primary vs. secondary infertility[edit] Primary infertility is defined as the absence of a live birth for women who desire a child and have been in a union for at least 12 months, during which they have not used any contraceptives.[14] The World Health Organisation also adds that 'women whose pregnancy spontaneously miscarries, or whose pregnancy results in a still born child, without ever having had a live birth would present with primarily infertility'.[15] Secondary infertility is defined as the absence of a live birth for women who desire a child and have been in a union for at least 12 months since their last live birth, during which they did not use any contraceptives.[15] Thus the distinguishing feature is whether or not the couple have ever had a pregnancy which led to a live birth. A Physical Map of the Human Y Chromosome. (PDF, 160 KB) Nature, 2001. This technique involves an injection of a single healthy sperm directly injected into mature egg.