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Intercourse 2 or 3 times per week may be considered average, although the frequency varies. WHO categorizes ovulatory disorders into three groups: group I is caused by hypothalamic pituitary failure (10%), group II results from dysfunction of hypothalamic-pituitary-ovarian axis (85%), and group III is caused by ovarian failure (5%).

Treatment of Female Infertility: Induction of Ovulation Ovulation induction involves the use of medication to stimulate development of one or more mature follicles in the ovaries of women who have anovulation and thus are infertile. Counseling about options should be offered to couples who are not physically able to conceive (i.e., same-sex couples or persons lacking reproductive organs). A man’s age significantly affects coital frequency and sexual function. Men should undergo evaluation with a semen analysis.

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Hysterosalpingography: Fluid is injected into the woman's uterus and X-rays are taken to determine whether the fluid travels properly out of the uterus and into the fallopian tubes. If the sperm are of good quality and the mechanics of the woman's reproductive structures are good (patent fallopian tubes, no adhesions or scarring), a course of ovulation induction maybe used. Hereditary causes: due to chromosome or genetic abnormalities. IUI is more commonly done when the man has a low sperm count, decreased sperm motility, or when infertility does not have an identifiable cause. Age, socio-economic, cultural and other environmental factors: Over the last few years, age has become the most common of these causes of infertility. Surgery for epididymal blockage: A blocked epididymis can be surgically repaired.

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The resulting embryos are then transferred into the uterus of the future mother, known as the recipient. Moderate ovarian hyperstimulation syndrome is characterized by ovarian enlargement (5-12 cm in diameter) moderate ascites, nausea, vomiting, abdominal discomfort, and weight gain greater than 10 lb.

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Mental stress: Stress can be a factor, especially if it leads to reduced sexual activity. In women, lead poisoning reduces conceptions and increases the risk of fetal wastage. Sertoli Cell only Revisited. (PDF, 1 MB) Human Reproduction, 1995. Age, socio-economic, cultural and other environmental factors: Over the last few years, age has become the most common of these causes of infertility. 5) Endometrial polyps: Endometrial polyps are finger-like growths in the uterine cavity arising from the lining of the uterus, called the endometrium, These abnormalities are rarely associated with cancer (<1% in a woman before menopause), but polyps are can decrease fertility by up to 50% according to some studies. Consulting a nutritionist, for example, could help a young woman suffering from anorexia to put on some weight, which might restart her menstrual cycle. Polycystic ovary syndrome (also known as Stein-Leventhal syndrome) and hyperprolactinemia can also cause anovulatory cycles through hormonal imbalances.[1][2] Functional problem[edit] This accounts for around 10-15% of all cases of anovulation.