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Effects[edit] Psychological[edit] The consequences of infertility are manifold and can include societal repercussions and personal suffering. Sterilisation Some women choose to be sterilised if they don't want to have any more children. Prior surgeries Certain surgeries may prevent you from having sperm in your ejaculate, including vasectomy, inguinal hernia repairs, scrotal or testicular surgeries, prostate surgeries, and large abdominal surgeries performed for testicular and rectal cancers, among others. Prior surgeries Certain surgeries may prevent you from having sperm in your ejaculate, including vasectomy, inguinal hernia repairs, scrotal or testicular surgeries, prostate surgeries, and large abdominal surgeries performed for testicular and rectal cancers, among others. Further investigations Investigation of suspected tubal and uterine abnormalities: 1.

They're then stored inside yards of “plumbing” called the epididymis, which lies on top of each testicle. The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999. High-cost treatments are out of financial reach for some couples.

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The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999. IVF and related techniques (ICSI, ZIFT, GIFT) are called assisted reproductive technology (ART) techniques.

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However, if you haven’t had your period in months, it might be a good idea to seek medical advice.  Heavy and/or painful periods: Periods that hamper your daily activity may be a symptom of fibroids in the uterus or endometriosis. On Regenerating the Ovary and Generating Controversy. (PDF, 37 KB) Cell, 2005. Incidence and main causes of infertility in a resident population (1,850,000) of three French regions (1988–1989).

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The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. Also, polymorphisms in folate pathway genes could be one reason for fertility complications in some women with unexplained infertility.[62] However, a growing body of evidence suggests that epigenetic modifications in sperm may be partially responsible.[63][64] Diagnosis[edit] If both partners are young and healthy and have been trying to conceive for one year without success, a visit to a physician or women's health nurse practitioner (WHNP) could help to highlight potential medical problems earlier rather than later. If a semen analysis is found to be abnormal, generally it is first repeated to confirm the abnormality. Affected individuals displayed more severe forms of infertility such as azoospermia and severe oligozoospermia.[27] Other causes[edit] Factors that can cause male as well as female infertility are: DNA damage DNA damage reduces fertility in female ovocytes, as caused by smoking,[28] other xenobiotic DNA damaging agents (such as radiation or chemotherapy)[29] or accumulation of the oxidative DNA damage 8-hydroxy-deoxyguanosine[30] DNA damage reduces fertility in male sperm, as caused by oxidative DNA damage,[31] smoking,[28] other xenobiotic DNA damaging agents (such as drugs or chemotherapy)[32] or other DNA damaging agents including reactive oxygen species, fever or high testicular temperature.[33] The damaged DNA related to infertility manifests itself by the increased susceptibility to denaturation inducible by heat or acid [34] or by the presence of double-strand breaks that can be detected by the TUNEL assay.[35] General factors Diabetes mellitus,[36][37] thyroid disorders,[38] undiagnosed and untreated coeliac disease,[39][40][41][42] adrenal disease[43] Hypothalamic-pituitary factors Hyperprolactinemia Hypopituitarism The presence of anti-thyroid antibodies is associated with an increased risk of unexplained subfertility with an odds ratio of 1. The patient should be prescribed high-dose estradiol (5 mg qd for 21 d) followed by medroxyprogesterone (10 mg for 10 d). 8-Mb Deletion in the Azoospermia Factor c Region. (PDF, 332 KB) Genomics, 2004.