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Partners may become more anxious to conceive, increasing sexual dysfunction.[17] Marital discord often develops, especially when they are under pressure to make medical decisions. Ovarian hyperstimulation syndrome (OHSS) usually results from taking medications to stimulate the ovaries, such as clomifene and gonadotrophins.

Secondary infertility is used to refer to those cases in which miscarriages occur after having had one successful pregnancy.Infertility has traditionally been thought of as a woman's problem. Computer-aided semen analysis (CASA) Introduced in the late 1980s, CASA uses a video camera and computer to visualize and analyze sperm concentration and movement. Low weight: Obesity is not the only way in which weight can impact fertility.

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Paternal age > or = 40 years: an important risk factor for infertility. A specimen is collected by masturbation into a clean, dry, sterile container or during coitus using special condoms (containing no spermicidal lubricants). The ovaries can stop working in about 5% of cases. This means it’s more difficult to become pregnant and the chance of miscarriage is higher.  Unexplained infertility  Sometimes, doctors are unable to find the reason for infertility, despite running the required fertility tests. Infertility Tests History and physical examination – First and foremost, your fertility physician will take a very thorough medical and fertility history. Testicular Sperm Extraction (TESE) and Intracytoplasmic Sperm Injection (ICSI) for Non-obstructive Azoospermia.(PDF, 1 MB) 10th World Congress on In Vitro Fertilization and Assisted Reproduction, 1997.

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8 These studies are more sensitive and may delineate an abnormally formed uterus or structural problems, such as fibroids. 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. Editorial: The Cure and Proliferation of Male Infertility. (PDF, 2 MB) The Journal of Urology, 1998. Between 45 and 50 percent of cases are thought to stem from factors that affect the man. Metformin (Glucophage) is another type of medication that may help you ovulate normally if you have insulin resistance or PCOS (polycystic ovarian syndrome).

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Once the follicular diameter reaches 18 mm and the E2 level is below 2000 pc/mL, ovulation is triggered by the administration of hCG (10,000 IU IM). The extra heat caused by the vein can lead to low sperm count and impaired sperm movement. Outlook For couples who experience fertility problems and those who wish to have children at an older age, there are more options available than ever before. They can also carry out some basic tests on both partners to see if there is an identifiable reason for not having achieved a pregnancy. Only 5-10% of these couples eventually achieve a pregnancy within 5 years. Unexplained infertility In the UK, unexplained infertility accounts for around 25% of cases of infertility. A relationship also exists between obesity and erectile dysfunction (ED). WHO categorizes ovulatory disorders into three groups: group I is caused by hypothalamic pituitary failure (10%), group II results from dysfunction of hypothalamic-pituitary-ovarian axis (85%), and group III is caused by ovarian failure (5%). To have a successful reanastomosis, the final tube should measure at least 4.