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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. Fibrosis of the oviducts or uterine horns, probably a result of inflammation after infection or trauma, leads to infertility. If a tube is blocked and filled with fluid (called a hydrosalpinx), then minimally invasive surgery (laparoscopy or hysteroscopy) to either remove the tube or block/separate it from the uterus prior to any fertility treatments is recommended. Sulfasalazine: This anti-inflammatory drug can significantly lower a man's sperm count. It binds in a part of the brain called the hypothalamus, which is essential in stimulating the ovary to grow and release an egg.

Evaluation of the uterus and fallopian tubes can be performed by hysterosalpingography in women with no risk of obstruction. Many health conditions can make it hard to get pregnant.

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Combined infertility[edit] In some cases, both the man and woman may be infertile or sub-fertile, and the couple's infertility arises from the combination of these conditions. Urinary monitoring of the LH surge (eg, with an LH Predictor Kit) can be a substitute for BBT. 2) Ovulation disorders: Normal and regular ovulation, or release of a mature egg, is essential for women to conceive naturally. 8,37 Women in WHO group II, including those who are overweight and who have polycystic ovary syndrome, can benefit from weight loss, exercise, and lifestyle modifications to restore ovulatory cycles and achieve pregnancy.

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Intracytoplasmic Sperm Injection Today: A Personal Review. (PDF, 5 MB) Human Reproduction, 1998. The effect of age upon men's fertility is less clear.[citation needed] In people going forward for IVF in the UK, roughly half of fertility problems with a diagnosed cause are due to problems with the man, and about half due to problems with the woman. Fimbrioplasty for fimbria agglutination or phimosis without destruction of the cilial epithelium is equally successful.

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Other risk factors for infertility Other risk factors may also contribute to infertility in both men and women. Tubal occlusion A tubal occlusion means there is a blockage in the fallopian tube. Your physician will refer you to a reproductive urologist if appropriate. Make an appointment with your doctor and go over your concerns. For patients wishing to conceive, the medical approach is not indicated, as it delays treatment for infertility. In this case synthetic FSH by injection or Clomid (Clomiphene citrate) via a pill can be given to stimulate follicles to mature in the ovaries. Listen to Mr Brook talk about male infertility Find out more about ICSI.