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Around one third of couples have difficulty conceiving due to a low sperm count. BMI (body mass index) may be a significant factor in fertility, as an increase in BMI in the male by as little as three units can be associated with infertility. Age, socio-economic, cultural and other environmental factors: Over the last few years, age has become the most common of these causes of infertility. Cystic fibrosis: This is a chronic disease that results in the creation of a sticky mucus.

Clark AM, Thornley B, Tomlinson L, Galletley C, Norman RJ. Endometriosis may be treated through laparoscopic surgery.

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The emotional toll on both partners can affect their relationship. Your physician will refer you to a reproductive urologist if appropriate. VITRIKAS, MD, David Grant Medical Center Family Medicine Residency, Travis Air Force Base, California Am Fam Physician. 2015 Mar 1;91(5):308-314.   Patient information: See related handout on infertility, written by the authors of this article.   Related letter: Natural Procreative Technology for Treating Infertility This clinical content conforms to AAFP criteria for continuing medical education (CME).

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Assessment of efficacy of varicocele repair for male subfertility: a systematic review. Having an irregular cycle, including missing periods, can contribute to infertility, as it means a woman may not be regularly ovulating. Poor egg quality: Eggs that are damaged or develop genetic abnormalities cannot sustain a pregnancy.

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This procedure is done by ultrasound guidance when the surgeon utilizes a narrow needle to retrieve eggs from the ovary through the vaginal wall. The uterine cavity is distended with a gas or liquid, and the hysteroscope is introduced into the uterine cavity which can then be carefully inspected. Because of the risk of thrombosis, heparin (5000 U SC q12h) is recommended. [195] Some have had success treating severe ovarian hyperstimulation syndrome on an outpatient basis by performing aggressive transvaginal paracentesis with good outcomes. [199] hMG and its derivatives are indicated for ovulation induction in patients with primary amenorrhea due to hypopituitarism and in patients with secondary amenorrhea who did not respond to CC ovulation induction. Additionally, surgery, radiation or chemotherapy to treat tumors can affect male fertility. Pro-life opposition to the destruction of embryos not transferred in vivo. Alcohol: Any amount of alcohol consumption can affect the chances of conceiving. These time intervals would seem to be reversed; this is an area where public policy trumps science. Usually no more than 1 – 2 embryos are transferred, and therefore additional embryos can be frozen, or cryopreserved, for future use; 3) embryo donation – a process where a fully developed embryo from another person in combination w/donor sperm, or couple who underwent IVF, are donated to another woman, the future intended mother, for transfer into her uterus; and 4) gestational surrogacy – a process where another woman will undergo an embryo transfer and carry the pregnancy for another person. Female factor Dysfunction of the female reproductive organs is also apparent in around 40% of infertile couples. Low weight: Obesity is not the only way in which weight can impact fertility. Ovary Transplantation for Fertility Preservation in Cancer Patients: Fresh and Frozen. (PDF, 1 MB) Chapter 42 from textbook Clinial Infertility, 2010. If an endocrinopathy, such as hyperprolactinemia, is diagnosed, the underlying cause should be treated. Long-term Economic Benefits Attributed to IVF-conceived Children: A Lifetime Tax Calculation. (PDF, 225 KB) The American Journal of Managed Care, 2008. A typical infection is particularly the adnexitis from Chlamydia, but also infections from Trepona pallidum (lues) and Neisseria gonorrhoea should be kept in mind.