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6,8 It is important for primary care physicians to be familiar with the workup and prognosis for infertile couples. 8,46 Obesity impairs fertility and the response to fertility treatments, including in vitro fertilization; therefore, it is advisable to counsel patients who are obese to lose weight before conception or infertility treatments. Testicular Neoplasm in Father and Son. (PDF, 561 KB) The Journal of Urology, 1972. 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. Anti-Müllerian hormone of less than or equal to 5.

The eggs may never be released or they may only be released in some cycles. Normal uterine implantation can therefore not occur. Histological dating of timed endometrial biopsy tissue is not related to fertility status. There are three main types of sperm antibodies: Immunoglobulin G (IgG) Immunoglobulin A (IgA) Immunoglobulin M(IgM). The mitotic division does not result in complete separation; rather, daughter cells maintain intracellular bridges, which have functional significance in cell signaling and maturation. Thyroid problems: An overactive or underactive thyroid gland can lead to a hormonal imbalance.

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These areas include the fallopian tubes, ovaries, small or large intestine, and the walls of the abdominal cavity and pelvis. Depending on the therapeutic agent and the duration of treatment, endometriosis can be treated with oral contraceptives, progestins, androgens, or GnRH agonists.

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As the amount of adipose tissue increases, there is more aromatase available to convert androgens, and serum estradiol levels increase. Microscopic Vasectomy Reversal 30 Years Later: A Summary of 4010 Cases by the Same Surgeon. (PDF, 295 KB)Journal of Andrology, 2004. Women in group II include those with polycystic ovary syndrome and hyperprolactinemia.

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Linthicum, Md.: American Urological Association, Inc.; 2010. 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. Definition “A woman of reproductive age who has not conceived after 1 year of unprotected vaginal sexual intercourse, in the absence of any known cause of infertility” NICE guideline, CG156 Primary infertility; couple have failed to conceive before. Secondary infertility; woman has previously been pregnant regardless of the outcome of the pregnancy and now unable to conceive. Varicocele and male factor infertility treatment: a new meta-analysis and review of the role of varicocele repair.