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Primary sterility means that a pregnancy has never occurred. Come and meet us to find out more about how we can help you.

Affected individuals displayed more severe forms of infertility such as azoospermia and severe oligozoospermia.[27] Other causes[edit] Factors that can cause male as well as female infertility are: DNA damage DNA damage reduces fertility in female ovocytes, as caused by smoking,[28] other xenobiotic DNA damaging agents (such as radiation or chemotherapy)[29] or accumulation of the oxidative DNA damage 8-hydroxy-deoxyguanosine[30] DNA damage reduces fertility in male sperm, as caused by oxidative DNA damage,[31] smoking,[28] other xenobiotic DNA damaging agents (such as drugs or chemotherapy)[32] or other DNA damaging agents including reactive oxygen species, fever or high testicular temperature.[33] The damaged DNA related to infertility manifests itself by the increased susceptibility to denaturation inducible by heat or acid [34] or by the presence of double-strand breaks that can be detected by the TUNEL assay.[35] General factors Diabetes mellitus,[36][37] thyroid disorders,[38] undiagnosed and untreated coeliac disease,[39][40][41][42] adrenal disease[43] Hypothalamic-pituitary factors Hyperprolactinemia Hypopituitarism The presence of anti-thyroid antibodies is associated with an increased risk of unexplained subfertility with an odds ratio of 1. Segmental dysplasia is defined as a vas deferens with at least 2 distinct sites of vasal obstruction. The other cases are caused by a mixture of male and female problems or by unknown problems.

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Contents Signs and symptoms[edit] Anovulation is usually associated with specific symptoms. Government, the Department of Defense, or the Department of the Air Force. 8  A normal sample according to the 2010 World Health Organization (WHO) guidelines is described in Table 2. Further reading[edit] Fertility: Assessment and Treatment for People with Fertility Problems. Laparoscopy with hydrotubation - if the clinical situation suggests this is required .

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Other considerations include preconception screening and vaccination for preventable diseases such as rubella and varicella, sexually transmitted infections, and cervical cancer, based on appropriate guidelines and risk. Another requirement for male fertility is a normal ductal system.

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Human chorionic gonadotropin (Ovidrel, Pregnyl): Used together with clomiphene, hMG, and FSH, this can stimulate the follicle to ovulate. If you suspect you are infertile, see your doctor. Immediate surgery is needed and, sadly, the tube on that side will be lost. Fimbrial phimosis and periadnexal disease can be treated with laparoscopy. [134, 135, 136, 137, 138] The pregnancy rate after salpingolysis is 50-60% during the first year after treatment. Immediate surgery is needed and, sadly, the tube on that side will be lost. The doctor or WHNP may also be able to suggest lifestyle changes to increase the chances of conceiving.[65] Women over the age of 35 should see their physician or WHNP after six months as fertility tests can take some time to complete, and age may affect the treatment options that are open in that case. Counseling Fertility clinics should address the psycho-social and emotional needs of infertile couples as well as their medical needs.