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DEFINITION OF TERMS Source : Endometriosis & infertility PPT Presentation Summary : Fertility Issues. If conservative medical treatments fail to achieve a full term pregnancy, the physician or WHNP may suggest the patient undergo in vitro fertilization (IVF). Today, many patients do not receive the recommended medical care that based on the best available evidence [5]. Risk factors Risk factors that increase the risk include: Smoking significantly increases your risk of infertility Age: The ability to conceive starts to fall around the age of 32 years.

In men who have the necessary reproductive organs to procreate, infertility can be caused by low sperm count due to endocrine problems, drugs, radiation, or infection. The main reasons for fertility tourism are legal regulation of the sought procedure in the home country, or lower price. Pretesticular causes of infertility Pretesticular causes of infertility include congenital or acquired diseases of the hypothalamus, pituitary, or peripheral organs that alter the hypothalamic-pituitary axis. 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.

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Mumps: If this occurs after puberty, inflammation of the testicles may affect sperm production. Carcinoma in the Bladder Left Behind. (PDF, 3 MB) The Journal of Urology, 1973.

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Gonadotropin release is modulated by various other signals, such as estradiol (a potent inhibitor of both LH and FSH release), and inhibin from the Sertoli cell, which causes a selective decrease in FSH release. Dealing with Fertility Problems After Vasectomy Reversal. (PDF, 7 MB) Contemporary OB/GYN, 1978. At this point, psychological consultation and support should be provided [44]. This procedure is performed in the outpatient setting. The cervical mucus changes consistency during the ovulatory cycle, being most hospitable and easily penetrated at mid cycle. Secondary infertility When a woman is unable to bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth following either a previous pregnancy or a previous ability to carry a pregnancy to a live birth, she would be classified as having secondary infertility.

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A couple should see a healthcare provider if they have not been able to become pregnant after 12 months of having sex regularly without birth control. Some authorities believe that ovulation occurs 5 days after the last dose of CC. Pregnancies after Testicular Sperm Extraction and Intracytoplasmic Sperm Injection in Non-obstructive Azoospermia. (PDF, 3 MB) Human Reproduction, 1995. Risk factors Risk factors that increase the risk include: Smoking significantly increases your risk of infertility Age: The ability to conceive starts to fall around the age of 32 years. Causes in men The following are common causes of infertility in men. 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. Sulfasalazine: This anti-inflammatory drug can significantly lower a man's sperm count. Issues with the regulation and production of reproductive hormones are a potential cause. Open-ended Vasectomy, Sperm Granuloma, and Postvasectomy Orchialgia. (PDF, 13 MB) Fertility and Sterility, 1979.