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Your doctor will carry out a series of tests to diagnose what’s causing your fertility difficulties.  There are many reasons why you may have problems conceiving, including:  Your sperm does not have the concentration, motility or shape required to conceive Existing medical conditions that affect your fertility, such as issues with sperm production or duct obstructions  Your sperm may not be strong or healthy enough to fertilise your partner’s egg  As your partner gets older, her fertility quickly declines3 Depending on the cause, your doctor will recommend a treatment path for you. Diagnosis Male infertility is usually diagnosed by a semen analysis. Four alternatives are currently available to treat endometriosis: expectant therapy, surgical intervention, medical treatment, and combined therapy. Age: Male fertility starts to fall after 40 years. Although the sperm count may be slightly decreased by an intercourse frequency of once per day or once every other day, the motility and number of sperm in the healthy male would be sufficient to achieve pregnancy.

IUI is more commonly done when the man has a low sperm count, decreased sperm motility, or when infertility does not have an identifiable cause. Renal Echinococcus. (PDF, 1 MB) The Journal of Urology, 1972. Excess iron from multiple transfusions may get deposited in the pituitary gland and the testis, causing parenchymal damage and both pituitary and testicular insufficiency. Tubal obstructions can precisely be localized like this.

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Ovary Transplantation for Fertility Preservation in Cancer Patients: Fresh and Frozen. (PDF, 1 MB) Chapter 42 from textbook Clinial Infertility, 2010. Many countries have special frameworks for dealing with the ethical and social issues around fertility treatment. We recommend immediate evaluation for a couple attempting pregnancy when the woman has a prior history of pelvic infection. Evaluation of the Female Partner: Evidence of Ovulation (Continued) Progesterone test. Age: Male fertility starts to fall after 40 years.

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6 Accuracy may be improved by use on midday or evening urine specimens, which correlate better with the peak in serum luteinizing hormone levels. Cystic Fibrosis and Infertility Caused by Congenital Bilateral Absence of the Vas Deferens and Related Clinical Entities. (PDF, 2 MB) Human Reproduction, 1996. Illegal drugs: Some women who use marijuana or cocaine may have fertility problems. A doctor or WHNP takes a medical history and gives a physical examination.

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The idea is that for women beyond age 35, every month counts and if made to wait another six months to prove the necessity of medical intervention, the problem could become worse. Semen and sperm Sometimes the sperm cannot travel effectively to meet the egg. This procedure is performed in the outpatient setting. IVF and related techniques (ICSI, ZIFT, GIFT) are called assisted reproductive technology (ART) techniques. 10 Data Sources: A PubMed search was completed using the key terms infertility, subfertility, treatment, etiology, and diagnosis. ARTICLES FROM THE 1990s Microsurgery, Andrology, and Its Role in IVF. (PDF, 6 MB) Chapter in text book, Advances in Assisted Reproductive Technology, 1990. The rising number of obese individuals may be due in part to an energy-rich diet as well as insufficient physical exercise.  In addition to other potential health risks, obesity can have a significant impact on male and female fertility. Legal, cultural and religious inquiries have limited the available choices in some countries, such as the use of donor sperms or oocytes. Most people will have the strong desire to conceive a child at some point during their lifetime.