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This highly contagious disease caused by Brucella canis results in abortion and infertility in bitches and infertility in males. Additional risk factors may include smoking, alcohol use, obesity, and older age; however, the data are hampered by a lack of pregnancy-related outcomes. Epidemiological definition of infertility (for monitoring and surveillance) Women of reproductive age (15–49 years) at risk of becoming pregnant (not pregnant, sexually active, not using contraception and not lactating) who report trying unsuccessfully for a pregnancy for two years or more. (Reproductive Health Indicators) Infertility as a disability Disability: Infertility generates disability (an impairment of function), and thus access to health care falls under the Convention on the Rights of Persons with Disability. Paternal age > or = 40 years: an important risk factor for infertility. This allows the physician to evaluate the woman for any pelvic disease, particularly endometriosis, which may interfere with conception. Polycystic ovary syndrome (PCOS): The ovaries function abnormally and ovulation may not occur.

2) Medications to induce egg development and ovulation: The medications that help stimulate the ovary to develop mature eggs for ovulation come in two forms: pills taken by mouth and injections. Transitions of the tube mucosa with luminal adhesions develop from recent infections of the genitalia involving the adnexa. 42 Urinary luteinizing hormone kits indicate the midcycle luteinizing hormone surge that precedes ovulation by one to two days. These receptor dysfunctions may be explained by defects in specific chromosomal areas. Adverse effects of metformin include GI intolerance, nausea, vomiting, and abdominal cramps.

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Sulfasalazine: This anti-inflammatory drug can significantly lower a man's sperm count. It's sometimes done while you're taking meds that help trigger the release of an egg. Adolescents with a varicocele and testicular atrophy or lack of growth should similarly consider repair. At the same time, the number of pregnancy losses and malformations in the foetus increase. Ovarian hyperstimulation syndrome (OHSS) usually results from taking medications to stimulate the ovaries, such as clomifene and gonadotrophins.

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For example, a woman who has a 33-day cycle one month, a 31-day cycle the next, and a 35-day cycle after that, is probably having “normal” periods. The testicular-epididymal component includes sperm and comprises about 5% of the ejaculate volume. 38,39 Family physicians may choose to attempt ovulation induction in anovulatory women (WHO group II) with clomiphene. Suspect antisperm antibodies when semen analysis reveals abnormal clumping, agglutination, unexplained decreased motility, or an abnormal postcoital test result. The mammary glands are also controlled by the pituitary gland, so lactation can also be affected. In all cases, however, the pain is transient, as the body tissues will absorb the CO2 and eliminate it through respiration.[28] Coagulation disorders and dense adhesions (scar tissue) from previous abdominal surgery may pose added risk for laparoscopic surgery and are considered relative contra-indications for this approach.

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Primary infertility When a woman is unable to ever bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth she would be classified as having primary infertility. Hyperprolactinemia: If prolactin levels are high, and the woman is not pregnant or breastfeeding, it may affect ovulation and fertility. Symptoms include: bloating constipation dark urine diarrhea nausea abdominal pain vomiting They are usually mild and easy to treat. Non-steroidal anti-inflammatory drugs (NSAIDs): Long-term use of aspirin or ibuprofen may make it harder to conceive. Ovarian hyperstimulation syndrome The ovaries can swell, leak excess fluid into the body, and produce too many follicles, the small fluid sacs in which an egg develops.