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Only 5-10% of these couples eventually achieve a pregnancy within 5 years. The effect of age upon men's fertility is less clear.[citation needed] In people going forward for IVF in the UK, roughly half of fertility problems with a diagnosed cause are due to problems with the man, and about half due to problems with the woman.

Successful Autotransplantation of an Intra-abdominal Testis to the Scrotum by Microvascular Technique. (PDF, 11 MB) The Journal of Urology, 1976. Passive smoking has also been linked to lower fertility.

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Previous sterilization treatment: In women who have chosen to have their fallopian tubes blocked, the process can be reversed, but the chances of becoming fertile again are not high. 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. Radiation therapy: If this is aimed near the reproductive organs, it can increase the risk of fertility problems. A varicocele is like a varicose vein that can appear in the leg. Other hormones including inhibin B and leptin, may also be affected by obesity. Female infertility has many possible causes, such as irregular ovulation, uterine fibroids, fallopian tube blockage, PCOS, or endometriosis.

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History-taking Couples with infertility problem should be interviewed separately as well as together, to bring out important facts that one partner might not wish to disclose to the other. The most common identifiable causes of female fertility problems are outlined below: • Ovulatory dysfunction, (or anovulation) where an egg is not released from the ovary every month, is the single most common cause of female infertility.

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After ruling out female infertility concerns, tests for male infertility may be needed. Radiation therapy: This can impair sperm production. When anatomic variance or obstruction is suspected, referral for surgical evaluation and treatment is appropriate. Many cases are treated with medication or may require surgical procedures. Microsurgical Epididymal Sperm Aspiration and Assisted Reproductive Techniques. (PDF, 4 MB) Frontiers in Human Reproduction, 1991. License: Public Domain Due to increased levels of prolactin, the pulsatile release of GnRH is inhibited. This can reveal signs of endometriosis, scarring, blockages, and some irregularities of the uterus and fallopian tubes. ARTICLES FROM THE 2000s Evaluation and Treatment of Male Infertility. (PDF, 17 MB) Clinical Obstetrics and Gynecology, 2000. Hormone imbalances Infertility can result from disorders of the testicles themselves or an abnormality affecting other hormonal systems including the hypothalamus, pituitary, thyroid and adrenal glands. As new technology becomes available, fertility treatment is now accessible to more people, and success rates and safety are improving all the time.