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For women, being underweight and having extremely low amounts of body fat are associated with ovarian dysfunction and infertility and they have a higher risk for preterm birth. Being obese or overweight: This can increase the risk of infertility in women as well as men. The fertilized egg is then placed back into the uterus.

The medicalization of infertility has unwittingly led to a disregard for the emotional responses that couples experience, which include distress, loss of control, stigmatization, and a disruption in the developmental trajectory of adulthood.[16] Infertility may have psychological effects. 30–32 Other treatment options include antiestrogens and gonadotropin therapy, which showed a trend toward increased live birth rates in a Cochrane review. The surgeon can remove implants and scar tissue, and this may reduce pain and aid fertility. In vitro fertilization (IVF). In this technique, your doctor places into your uterus that were fertilized in a dish. Abnormal sperm: The sperm may have an unusual shape, making it harder to move and fertilize an egg.

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Intrauterine insemination. For this procedure, after semen gets rinsed with a special solution, a doctor places it into your uterus when you're ovulating. Pro-life opposition to the destruction of embryos not transferred in vivo.

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Using these criteria, he reported a clinically significant threshold of 14% normal forms as an excellent predictor of IVF success. When Predictions Don’t Predict. (PDF, 549 KB) The Australian and New Zealand Journal of Obstetrics and Gynaecology, 1991. Ejaculation disorders Some men experience ejaculation problems that can make it difficult for them to release semen during sex (ejaculate). Female factor Dysfunction of the female reproductive organs is also apparent in around 40% of infertile couples. Specialized semen analysis, including genetic testing of the sperm (looking for the presence of antibodies) and evaluation of immobile sperm (to see if they are dead or alive). 8 Women in group I typically present with amenorrhea and low gonadotropin levels, most commonly from low body weight or excessive exercise.

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18  If the semen analysis result is abnormal, further evaluation is indicated (Table 36–8,10,19,20). Some medications increase the risk of fertility problems in men. In this case, symptoms can also include: Skin changes, including more acne Changes in sex drive and desire Dark hair growth on the lips, chest, and chin Loss of hair or thinning hair Weight gain Other symptoms of disorders that may lead to infertility include: Milky white discharge from nipples unrelated to breastfeeding Pain during sex Many other things can be related to infertility in women, and their symptoms vary. Some women have bilateral tubal occlusion, which is when both tubes are blocked. The eggs may never be released or they may only be released in some cycles. Sperm are then collected, washed, and added to the eggs in the dish. Many uterine and tubal abnormalities detected by the HSG can be surgically corrected. The predictive value of hysterosalpingography for tubal and peritoneal infertility factors. The presence of antibodies in serum or seminal plasma is less prognostic than antibodies bound to sperm. Symptoms include: bloating constipation dark urine diarrhea nausea abdominal pain vomiting They are usually mild and easy to treat. Vasectomy. (PDF, 5 MB) From the Encyclopedia of Reproduction, 1999.