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Bhaskar Dutta/Photoshare Clinical definitions Infertility is “a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse.”… (WHO-ICMART glossary1). “Infertility is the inability of a sexually active, non-contracepting couple to achieve pregnancy in one year. Ejaculation disorders: If the ejaculatory ducts are blocked, semen may be ejaculated into the bladder Hormonal imbalance: Hypogonadism, for example, can lead to a testosterone deficiency. However, there are side effects to using fertility drugs, such as ovarian hyperstimulation or the increased chance of developing ovarian tumors.  Surgical procedures: These surgeries correct abnormalities or blockages in the uterus and fallopian tubes. Successful Autotransplantation of an Intra-abdominal Testis to the Scrotum by Microvascular Technique. (PDF, 11 MB) The Journal of Urology, 1976.

However there is a minimal increased risk of de-novo chromosomal abnormalities in ICSI born babies [46,47] that necessitate counselling of the concerned couples.Table of contents Causes in men Causes in women Treatment Types Diagnosis Complications Outlook It may be that one partner cannot contribute to conception, or that a woman is unable to carry a pregnancy to full term. If they are blocked, it indicates the site of the block. Role of Semen Analysis in Subfertile Couples. (PDF, 250 KB) Fertility and Sterility, 2010. Cryptorchidism may be due to inherent defects in both testes because even men with unilateral cryptorchidism have lower than expected sperm counts. 1 Among couples 15 to 44 years of age, nearly 7 million have used infertility services at some point.

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These drugs also can also help you get pregnant by causing your ovaries to release multiple eggs. Another potential symptom is irregular menstruation, where five or more menstrual cycles a year are five or more days shorter or longer than the length of the average cycle.

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ARTICLES FROM THE 2000s Evaluation and Treatment of Male Infertility. (PDF, 17 MB) Clinical Obstetrics and Gynecology, 2000. Gerrits T, Shaw M (2010). "Biomedical infertility care in sub-Saharan Africa: a social science review of current practices, experiences and view points".

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Conditions including PCOS, the presence of excess prolactin, or premature ovarian failure can create ovulation disorders.  Tubal occlusion  According to other research, fallopian tube disorders lead to between 35 and 40 percent of infertility cases. However, the . clinical management . of the infertility in these patients is difficult Source : Infertility And Sterility PPT Presentation Summary : Infertility and Sterility. Algorithm for infertility evaluation. (ART = assisted reproductive technology.) Infertility Evaluation Figure 1. Certain medical conditions such as diabetes, thyroid disease and anemia may also affect fertility. The corollary to this is that, by definition, failure to conceive in women under 35 isn't regarded with the same urgency as it is in those over 35. Mental stress: Stress can be a factor, especially if it leads to reduced sexual activity. The most commonly prescribed pill to stimulate ovulation (generally of one mature egg) is clomiphene citrate. 5-5 mL, and the WHO lower reference limit (5th percentile) is 1.