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However, if the woman has previously been pregnant, regardless of the outcome (which may have been a premature or full-term delivery, spontaneous abortion, induced abortion or ectopic pregnancy), and is now unable to conceive, it is considered secondary infertility. 8 These studies are more sensitive and may delineate an abnormally formed uterus or structural problems, such as fibroids. The fluid comes from the prostate gland, the seminal vesicle, and other sex glands. 0 The reflection of malformations, dysplasia or hypoplasia of the uterus is possible with hysterosalpingoscopy. Motility, adhesions and focusses of endometriosis can precisely be assessed by laparoscopy with blue instillation. 37 Clomiphene has also proven effective for ovulation induction in women with polycystic ovary syndrome.

Women trying to conceive often have depression rates similar to women who have heart disease or cancer.[18] Emotional stress and marital difficulties are greater in couples where the infertility lies with the man.[19] Older people with adult children appear to live longer.[20] Why this is the case is unclear and may dependent in part on those who have children adopting a healthier lifestyle, support from children, or the circumstances that led to not having children.[20] [edit] In many cultures, inability to conceive bears a stigma. Basic Work-up for Infertility Detailed history and physical examination. Semen analysis. Evidence of ovulation. (Day 2-3 gonadotrophins, Day 21 progesterone) Susceptibility to rubella Cervical smear screening Screening for Chlamydia trachomatis Serum prolactin Thyroid function tests 12. Semen analysis: - semen volume: 1. For instance, women with hyper or hypo-thyroidism sometimes have ovulation problems.

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Sermondade N, Faure C, Fezeu L, Lévy R, Czernichow S; Obesity-Fertility Collaborative Group. Unexplained infertility in women or men may be managed with another year of unprotected intercourse, or may proceed to assisted reproductive technologies, such as intrauterine insemination or in vitro fertilization. Vasoepididymostomy to the Head of the Epididymis: Recovery of Normal Spermatozoal Motility. (PDF, 3 MB)Fertility and Sterility, 1980.

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The vas deferens carries sperm from the epididymis to the ejaculatory duct and the urethra. Several days later, embryos -- or fertilized eggs -- get put back into your uterus with a device called an intrauterine insemination catheter.

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As treatment begins, couples may experience cycles of optimism and despair with each passing menstrual cycle. Possible problems could be that the egg is not released at the optimum time for fertilization, that it may not enter the fallopian tube, sperm may not be able to reach the egg, fertilization may fail to occur, transport of the zygote may be disturbed, or implantation fails. Incidence and main causes of infertility in a resident population (1,850,000) of three French regions (1988–1989). Cystic fibrosis: This is a chronic disease that results in the creation of a sticky mucus. Most people will have the strong desire to conceive a child at some point during their lifetime. Partners may become more anxious to conceive, increasing sexual dysfunction.[17] Marital discord often develops, especially when they are under pressure to make medical decisions. Patients may be candidates for assisted reproduction techniques after appropriate genetic screening in the partner.[29] Acquired blockage of the ductal system Genital ducts may become obstructed secondary to infections, such as chlamydia, gonorrhea, tuberculosis, and smallpox. Showell MG, Brown J, Yazdani A, Stankiewicz MT, Hart RJ. Overheated testicles: Causes include an undescended testicle, a varicocele, or varicose vein in the scrotum, the use of saunas or hot tubs, wearing tight clothes, and working in hot environments. If the egg does not travel, it can be harder to conceive naturally.