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Demographic definitions of infertility An inability of those of reproductive age (15-49 years) to become or remain pregnant within five years of exposure to pregnancy. (DHS2) An inability to become pregnant with a live birth, within five years of exposure based upon a consistent union status, lack of contraceptive use, non-lactating and maintaining a desire for a child. (Trends in prevalence4). Preconception lifestyle advice for people with subfertility. Less common factors The following other factors may also be responsible for infertility in a smaller proportion of cases: • Genetic abnormalities within eggs, sperm or both • An abnormal uterine cavity, including the presence of fibroids or polyps • Immunological infertility, whereby either the male or female partner produces anti-bodies against sperm cells or implantation of an embryo • Abnormal cervical mucus which hinders the passage of sperm to the uterus and fallopian tubes Unexplained infertility Even when investigations have been extensive, some couples will have no reason with which to explain their infertility. Several studies have reported different causes of infertility [7-9]. Not PPT Presentation Summary : Infertility Statistics.

As they respond to hormones the same way as they would do in the uterus, that is by growing and shedding cyclically, endometriosis can cause both fallopian tube and ovarian scarring. The stimulation of follicular maturation is continued with HMG or FSH. Although CASA produces good qualitative data, it is a labor-intensive procedure with a high initial cost and is plagued with inaccuracies when sperm concentrations are very high or very low. Hysteroscopy is the inspection of the uterine cavity through the cervix by a hysteroscope attached to a camera which projects to a screen.

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Sperm are then collected, washed, and added to the eggs in the dish. Sermondade N, Faure C, Fezeu L, Lévy R, Czernichow S; Obesity-Fertility Collaborative Group. This may be used if IVF has not been effective, if there has been poor embryo growth rate, and if the woman is older. In women, both smoking and alcohol use are associated with lower rates of conception and increased rates of spontaneous abortion.

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Religious leaders' opinions on fertility treatments; for example, the Roman Catholic Church views infertility as a calling to adopt or to use natural treatments (medication, surgery, or cycle charting) and members must reject assisted reproductive technologies. Fresh Ovarian Tissue and Whole Ovary Transplantation. (PDF, 373 KB) Seminars in Reproductive Medicine, 2009. Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989.

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29 When the semen analysis is abnormal, referral to a male fertility specialist or reproductive endocrinologist is warranted. Microscopic Vasectomy Reversal 30 Years Later: A Summary of 4010 Cases by the Same Surgeon. (PDF, 295 KB)Journal of Andrology, 2004. Most couples (approximately 85%) will achieve pregnancy within one year of trying, with the greatest likelihood of conception occurring during the earlier months. Author disclosure: No relevant financial affiliations. But the ruling is also likely to lead to accusations that that the body has overstepped its remit by moving from its remit of health into matters of social affairs. The doctor may ask about the couple's sexual habits and make recommendations regarding these. You take gonadotropins that trigger the development of more than one egg. Abdominal myomectomy is a surgical procedure performed through a very low horizontal abdominal incision allowing access to the uterus for removal of fibroids.