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Outside pregnancy and lactation, women with high levels of prolactin may have irregular ovulation cycles and fertility problems. 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. For most specimens, the greatest recovery of the motile portion results from separation via centrifugal filtration through a discontinuous density gradient system.

8-Mb Deletion in the Azoospermia Factor c Region. (PDF, 332 KB) Genomics, 2004. If no improvement occurs, depending on the amount of functional sperm recovery after the sperm wash, the decision must be made to proceed with either intrauterine insemination or in vitro fertilization.

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Sperm retrieval for azoospermia and intracytoplasmic sperm injection success rates – A personal overview. (PDF, 1 MB) Human Fertility, 2010. Letrozole has a very short half-life (45 hours) and, therefore, is quickly cleared from the body.

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Radiopaque dye is instilled into the uterine cavity through the cervix and x-rays are taken. Male and female factors can exist in isolation or combination and fertility investigations, diagnoses and treatment should always be considered in the context of the couple.       Male factor Sperm problems will contribute to about 40% of infertility cases. Normal fertility is observed in three fourths of patients with unilateral mumps orchitis and in one third of patients in bilateral orchitis. Constant irrigation with Ringer lactate solution and heparin prevents fibrin formation.

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8,26,27 As opposed to laparoscopy or hysteroscopy, hysterosalpingography is a minimally invasive procedure with potentially therapeutic effects and should be considered before more invasive methods of assessing tubal patency. The easiest and most successful treatment is intrauterine insemination (IUI). [104] Similar treatments apply when oligospermia, hypospermia, and ejaculatory disorders such as impotence, hypospadias, or retrograde ejaculation are present. [105, 106, 107] Patients with azoospermia that is not amenable to in vitro fertilization/intracytoplasmic sperm injection treatment benefit from artificial insemination (AI) with donor sperm. [108] Artificial insemination can be performed by depositing the sperm at the cervical level (cervical insemination) [106] or inside the endometrial cavity (intrauterine insemination). Instructions for collecting the sample should include abstinence from ejaculation for 48 to 72 hours. Evaluating the Infertile Male – Part 1. (PDF, 5 MB) Contemporary OB/GYN, 2004. Effects[edit] Psychological[edit] The consequences of infertility are manifold and can include societal repercussions and personal suffering. Women 35 and older should see their doctor after six months of trying. Shaban says that by using some combination of ARTs for several months, “most couples can expect a pregnancy between 40 to 50% of the time.” Male infertility treatments to try at home But are there things you can do on your own to maximize your fertility? Ovarian Transplantation in a Series of Monozygotic Twins Discordant for Ovarian Failure. (PDF, 188 KB) The New England Journal of Medicine, 2007. Exposure to chemicals: Pesticides, for example, may increase the risk. To ascertain a more precise assessment, a hysteroscopy of the uterus is run.