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WHAT'S THE DIFFERENCE BETWEEN PRIMARY AND SECONDARY INFERTILITY? Endometriosis Endometriosis is a condition where small pieces of the womb lining (the endometrium) start growing in other places, such as the ovaries. If necessary, they refer patients to a fertility clinic or local hospital for more specialized tests. Hereditary causes: due to chromosome or genetic abnormalities. The patient should be abstinent for 2-3 days prior to maximize sperm number and quality. Success rates reported by various practices that offer ICSI range from 15% to 30% per egg retrieval.

Testing may begin with a physical exam and questions about past medical problems. Chromosomal Abnormalities in Embryos Derived from Testicular Sperm Extraction. (PDF, 324 KB) Fertility and Sterility, 2003. Low weight: Obesity is not the only way in which weight can impact fertility.

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Macroscopic deletions of Yq11 are often observed in patients with azoospermia, although many new microdeletions have been implicated as a significant cause of infertility. 6) Surgery – After a thorough history, physical examination, and ultrasound are performed, your doctor may recommend surgery to correct and abnormality. Surgery for epididymal blockage: A blocked epididymis can be surgically repaired. Semen and sperm Sometimes the sperm cannot travel effectively to meet the egg. Mumps: If this occurs after puberty, inflammation of the testicles may affect sperm production. They compete with endogenous GnRH molecules for the pituitary receptors and provoke a massive release of gonadotropins into circulation.

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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. Low progesterone levels may lead to early miscarriage. Ovulation often can be detected by keeping a menstrual calendar or using an ovulation predictor kit. Clomiphene citrate for unexplained subfertility in women. Some people find that joining a support group helps, as it offers the chance to talk to others in a similar situation.

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Today, many patients do not receive the recommended medical care that based on the best available evidence [5]. Some women are infertile because their ovaries do not mature and release eggs. It was broken down into male and female categories. These and many other questions will help your physician design a specific evaluation and potential treatment for you. These include: non-steroidal anti-inflammatory drugs (NSAIDs) – long-term use or a high dosage of NSAIDs, such as ibuprofen or aspirin, can make it more difficult to conceive chemotherapy – medicines used for chemotherapy can sometimes cause ovarian failure, which means your ovaries will no longer be able to function properly neuroleptic medicines – antipsychotic medicines often used to treat psychosis; they can sometimes cause missed periods or infertility spironolactone – a type of medicine used to treat fluid retention (oedema); fertility should recover around 2 months after you stop taking spironolactone Illegal drugs, such as marijuana and cocaine, can seriously affect fertility and make ovulation more difficult. Most surgical treatment for endometriosis is currently performed through operative laparoscopy. [145, 146, 147] Laparotomy has been relegated to the treatment of severe disease or if a need for hysterectomy arises. [145] Medical treatment Medical treatment is directed toward suppressing estrogen production by the ovary. Fertility treatments for women Fertility drugs might be prescribed to regulate or induce ovulation. This abnormality is usually surgically corrected in infancy. Obesity and increased risk for oligozoospermia and azoospermia. Unexplained infertility is not the same thing as having no explanation, but rather reflects the fact that the tests performed have been normal. This process bypasses the normal fertilization process, which may be compromised due to poor sperm function.