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Many health conditions can make it hard to get pregnant. Gonadotropin-releasing hormone (Gn-RH) analogs: These can help women who ovulate too early—before the lead follicle is mature—during hmG treatment. Regrettably, this often leads to untruly high expectations of assisted reproduction techniques (ART) [40]. The embryo is then placed in the uterus to begin a pregnancy. If both tubes are blocked, then in vitro fertilization (IVF) is required.

The content of counselling may differ depending on the concerned couple and the existing treatment options. It is often prescribed for Crohn's disease or rheumatoid arthritis. Women in group III can conceive only with oocyte donation and in vitro fertilization. Choose a single article, issue, or full-access subscription.

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8  A normal sample according to the 2010 World Health Organization (WHO) guidelines is described in Table 2. For conception to take place, several events should happen correctly and at exactly the right time. Submucosal fibroids: Benign or non-cancerous tumors occur in the muscular wall of the uterus. Your doctor will carry out a series of tests to diagnose what’s causing your fertility difficulties.  There are many reasons why you may have problems conceiving, including:  Your sperm does not have the concentration, motility or shape required to conceive Existing medical conditions that affect your fertility, such as issues with sperm production or duct obstructions  Your sperm may not be strong or healthy enough to fertilise your partner’s egg  As your partner gets older, her fertility quickly declines3 Depending on the cause, your doctor will recommend a treatment path for you. Ideally, patients respond to replacement with exogenous GnRH or HCG, an LH analogue, although this does not always occur. The laboratory evaluation begins with a semen analysis.

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Your doctor may ask you many of the following questions: How long have you been trying to get pregnant? Modifying these behaviors can improve a man�s fertility and should be considered when a couple is trying to achieve pregnancy. In these methods, fertilization occurs inside the body.

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In order to accomplish this, the semen is washed with a solution safe to sperm and eggs, and then centrifuged to separate motile sperm from immotile sperm and other cells. Metformin (Glucophage) is another type of medication that may help you ovulate normally if you have insulin resistance or PCOS (polycystic ovarian syndrome). One type of ovulation problem, polycystic ovarian syndrome, is effectively treated with medications. Chromosomal defects Hereditary disorders, such as Klinefelter’s syndrome (when a male is born with two X chromosomes and one Y chromosome instead of one X and one Y) impacts the normal development of the male reproductive organs. Success rates for induction of ovulation vary considerably and depend on the age of the woman, the type of medication used, the presence of other infertility factors present in the couple and other reasons. A man’s age significantly affects coital frequency and sexual function. Twelve months is the lower reference limit for Time to Pregnancy (TTP) by the World Health Organization.[7] a woman over 35 has not conceived after six months of contraceptive-free sexual intercourse. A woman who keeps having miscarriages is also considered infertile. Coping mentally It is impossible to know how long treatment will go on for and how successful it will be. It is further sub-divided into primary and secondary sterility. Causes of infertility and sterility in men The male factor is difficult to evaluate because sperm analyses do not always indicate if there is a problem or not. There are some common risk factors that can increase the likelihood of a man experiencing some form of reversible or permanent infertility.