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These include: Infrequent menstrual periods: When a woman has regular menstrual periods, defined as regular cycles occurring every 21 to 35 days, this almost always indicates that she ovulates regularly. Once confirmed, the male partner is referred to a reproductive urologist, especially if the abnormality is severe.

Patients are often short, with small firm testis and gynecomastia, but they have a normal-sized penis. 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. IVF and other fertility treatments have resulted in an increase in multiple births, provoking ethical analysis because of the link between multiple pregnancies, premature birth, and a host of health problems. ICSI offers a high pregnancy rate and 70—80 % of eggs are fertilized through this technique. 21,22 Evaluation of Women Jump to section + The etiology of female infertility can be broken down into ovulation disorders, uterine abnormalities, tubal obstruction, and peritoneal factors. Illegal drugs: Some women who use marijuana or cocaine may have fertility problems.

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New Concepts in Operative Andrology: A Review. (PDF, 7 MB) International Journal of Andrology, 2000. FSH has a lower plasma concentration and longer half-life than LH, and it has less obvious pulsatile changes. Vasectomy and Vasectomy Reversal. (PDF, 7 MB) Fertility and Sterility, 1978. Cryptorchidism may be due to inherent defects in both testes because even men with unilateral cryptorchidism have lower than expected sperm counts. If conception does not occur after many months or years of trying, it can lead to stress and possibly depression. Seventy-five percent of patients have testicular atrophy and primary testicular failure due to degeneration of the seminiferous tubules.

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The chance of a multiple birth is lower with an oral fertility drug. This diagnosis is therefore shared by 15% of couples attempting to conceive. Other hormones including inhibin B and leptin, may also be affected by obesity.

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Cervical stenosis (a narrowed cervix) or the lack of cervical mucus often make it harder for sperm to travel through the cervix into the uterus. Experts differ as to when genetic tests should be done. In this article, learn about signs of infertility in both men and women, as well as when to see a doctor. Radiation therapy: If this is aimed near the reproductive organs, it can increase the risk of fertility problems. Endometrial biopsy should be performed only in women with suspected pathology (chronic endometritis or neoplasia). Here are some common male infertility treatments. The dynamics of stress in fertile and infertile couples. Algorithm for infertility evaluation. (ART = assisted reproductive technology.) Infertility Evaluation Figure 1. Secondary infertility When a woman is unable to bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth following either a previous pregnancy or a previous ability to carry a pregnancy to a live birth, she would be classified as having secondary infertility. Up to 2 percent of men are thought to have suboptimal sperm.