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Group I: hypothalamic pituitary failure (hypothalamic amenorrhoea or hypogonadotrophic hypogonadism). If the woman is aged over 35 years, the couple may wish to see a doctor earlier, because fertility testing can take time, and female fertility starts to drop when a woman is in her 30s. One-third of couples will discover fertility problems in both partners or will have their infertility remain unexplained.

In addition, infertility is considered also a public problem. Fresh Ovarian Tissue and Whole Ovary Transplantation. (PDF, 373 KB) Seminars in Reproductive Medicine, 2009. Pro-life opposition to the destruction of embryos not transferred in vivo. The surgeon can remove implants and scar tissue, and this may reduce pain and aid fertility. Prevalence of Premature Ovarian Failure in Monozygotic and Dizygotic Twins. (PDF, 90 KB) Human Reproduction, 2007.

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The sperm is washed in a fluid and the best specimens are selected. Sherman Silber: Be Fruitful and Multiply. (PDF, 6 MB) Lifestyles Magazine, 1999. Infertility treatment  Current problems with conception won’t necessarily stop you from starting a family in the future. Once a follicle containing an egg reaches a mature size, another hormone injection called HCG is often given to mimic the natural LH surge that occurs at the time of ovulation.

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Klinefelter�s Syndrome: Is a genetic condition in which each cell in the human body has an additional X chromosome--men with Klinefelter�s Syndrome have one Y and two X chromosomes.  Physical symptoms include peanut-sized testicles and enlarged breasts.  A chromosome analysis is used to confirm this analysis.  If this condition is treated in its early stages (with the drug hCG), sperm production may commence and/or improve.  However, Klinefelter�s Syndrome eventually causes all active testicular structures to atrophy.  Once testicular failure has occurred, improving fertility is impossible. Women older than 35 years or couples with known risk factors for infertility may warrant evaluation at six months.

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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. Perfect Anatomical Reconstruction of Vas Deferens with a new Microscopic Surgical Technique. (PDF, 19 MB)Fertility and Sterility, 1977. Radiation therapy: If this is aimed near the reproductive organs, it can increase the risk of fertility problems. A sperm count of under 15 million is considered low. A urine sample must be collected immediately after ejaculation. Changes in sexual desire A man’s fertility is also linked with his hormone health. Close Common Causes of Female Sterility The most common causes of female sterility include: Fallopian tube damage or blockage Ovulation disorders Polycystic ovary syndrome (PCOS) Endometriosis Early menopause Pelvic adhesions Benign uterine fibroids Close Help for Sterility Sexual problems such as impotence or premature ejaculation should be addressed. Intrauterine insemination. For this procedure, after semen gets rinsed with a special solution, a doctor places it into your uterus when you're ovulating. Successful Pregnancy and Delivery after Calcium Ionophore Oocyte Activation in a Normozoospermic Patient with Previous Failed Fertilization after Intracytoplasmic Sperm Injection. (PDF, 57 KB) Fertility and Sterility, 2003. Sperm retrieval for azoospermia and intracytoplasmic sperm injection success rates – A personal overview. (PDF, 1 MB) Human Fertility, 2010. Non-steroidal anti-inflammatory drugs (NSAIDs): Long-term use of aspirin or ibuprofen may make it harder to conceive.