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These drugs also can also help you get pregnant by causing your ovaries to release multiple eggs. Primary vs. secondary infertility[edit] Primary infertility is defined as the absence of a live birth for women who desire a child and have been in a union for at least 12 months, during which they have not used any contraceptives.[14] The World Health Organisation also adds that 'women whose pregnancy spontaneously miscarries, or whose pregnancy results in a still born child, without ever having had a live birth would present with primarily infertility'.[15] Secondary infertility is defined as the absence of a live birth for women who desire a child and have been in a union for at least 12 months since their last live birth, during which they did not use any contraceptives.[15] Thus the distinguishing feature is whether or not the couple have ever had a pregnancy which led to a live birth. In this case, your doctor may recommend advanced fertility treatment — assisted reproductive technologies (ART) treatment. Infertility: Summary Infertility is a significant social and medical problem affecting couples worldwide.

This should be followed by documentation of ovulation via serum progesterone. Effectiveness of the postcoital test: randomised controlled trial. In these methods, fertilization occurs inside the body. Other factors that can affect a woman's chances of conceiving include being overweight or underweight,[56] or her age as female fertility declines after the age of 30.[57] Sometimes it can be a combination of factors, and sometimes a clear cause is never established. Females[edit] The following causes of infertility may only be found in females.

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Medications Testosterone replacement therapy, long-term anabolic steroid use, cancer medications (chemotherapy), certain antifungal medications, some ulcer drugs and certain other medications can impair sperm production and decrease male fertility. Infertility may be caused by blockage of the Fallopian tube due to malformations, infections such as chlamydia or scar tissue. Men can still ejaculate with a low sperm count or poor-quality sperm. Once confirmed, the male partner is referred to a reproductive urologist, especially if the abnormality is severe. Preconception lifestyle advice for people with subfertility. A mouse study has suggested that ingredients in some household detergents may reduce fertility.

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Patients with adrenal hyperplasia and other disorders must be treated with prednisone. Treatment of Female Infertility: Ovulation Induction Agents The main agents used for the induction of ovulation include: Clomiphene citrate is an orally active, nonsteroidal agent structurally similar to estrogen. A postoperative HSG should be performed 2 months later. About 85 percent of male-female couples will be able to get pregnant within 12 months of trying. These sperm show a high level of retained cytoplasmic droplets around the mid piece.

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Infertility and Impaired Fecundity in the United States, 1982-2010: Data from the National Survey of Family Growth. A Physical Map of the Human Y Chromosome. (PDF, 160 KB) Nature, 2001. If the egg does not travel, it can be harder to conceive naturally. Any condition that interferes with these events may result in infertility. Ovulation should be documented by serum progesterone level measurement at cycle day 21. Infertility and impaired fecundity in the United States, 1982–2010: data from the National Survey of Family Growth. 17 Evaluation of male infertility starts with a history and physical examination focusing on previous fertility, pelvic or inguinal surgeries, systemic diseases, and exposures. For unknown reasons, as women age, egg numbers decrease at a rapid rate. A Modern Approach to Male Infertility. (PDF, 2 MB) Serono Symposia, Insights Into Infertility Newsletter, 1997.