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6,23 Anovulatory women should have further investigation to determine treatable causes such as thyroid disorders or hyperprolactinemia based on symptoms. Bhaskar Dutta/Photoshare Clinical definitions Infertility is “a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse.”… (WHO-ICMART glossary1). “Infertility is the inability of a sexually active, non-contracepting couple to achieve pregnancy in one year. Chemotherapy: Some chemotherapy drugs can result in ovarian failure.

Laboratory testing – Depending on the results of the evaluation discussed above, your physician may request specific blood tests. The main causes of tubal infertility are pelvic infections caused by bacteria such as chlamydia, previous abdominal disease or surgery and ectopic pregnancy. • Endometriosis is characterised by excessive growth of the lining of the uterus.

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Basic Work-up for Infertility Detailed history and physical examination. Semen analysis. Evidence of ovulation. (Day 2-3 gonadotrophins, Day 21 progesterone) Susceptibility to rubella Cervical smear screening Screening for Chlamydia trachomatis Serum prolactin Thyroid function tests 12. Semen analysis: - semen volume: 1. Symptoms of hormone fluctuations Signs of hormone fluctuations in women could indicate potential issues with fertility. The Avon Longitudinal Study of Pregnancy and Childhood Study Team. Microscopic Vasoepididymostomy: Specific Microanastomosis to the Epididymal Tubule. (PDF, 15 MB) Fertility and Sterility, 1978. In patients with varicocele, there is insufficient evidence to suggest corrective surgery will increase live birth rates, despite improvement in semen analysis results.

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Most often, the problem lies in the process of either making or moving thesperm. Abnormal semen may not be able to carry the sperm effectively. Problems with ejaculation or ejaculate Having difficulty ejaculating or noticing changes in the ejaculate, such as a drop in volume, may also be a sign of an underlying issue related to a man's fertility. 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. Here, the hormones FSH (= follicle stimulating hormone) and LH (= luteinizing hormone) play an important role. Congenital Absence of the Vas Deferens: The Fertilizing Capacity of Human Epididymal Sperm. (PDF, 3 MB) New England Journal of Medicine, 1990.

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Illegal drugs: Some women who use marijuana or cocaine may have fertility problems. The Intra-abdominal Testes: Microvascular Autotransplantation. (PDF, 4 MB) The Journal of Urology, 1981. Tubal occlusion A tubal occlusion means there is a blockage in the fallopian tube. Around one third of couples have difficulty conceiving due to a low sperm count. Whether it should be corrected in cases of primary infertility is controversial. Done as part of an IVF treatment, ICSI involves injecting a single sperm into an egg. They are then processed and introduced to eggs by different methods. Existing definitions of infertility lack uniformity, rendering comparisons in prevalence between countries or over time problematic.