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Primary infertility When a woman is unable to ever bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth she would be classified as having primary infertility. Do you have pain with menstrual periods or intercourse? Use of clomiphene citrate in infertile women: a committee opinion.

Sperm count often returns to normal after stopping the medication. Damaged tubes may interfere with fertilization of the egg and its transport into the uterine cavity. Check out our online medical courses and start now for free!

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Sexually transmitted infections (STIs): Chlamydia can damage the fallopian tubes in a woman and cause inflammation in a man's scrotum. These may be purchased over the counter and allow couples to predict the most fertile days in the cycle. You have never had a period, or periods suddenly stop. In ZIFT, your doctor places the fertilized eggs -- at this stage called zygotes -- into your fallopian tubes within 24 hours. Infection and Disease: Mumps, tuberculosis, brucellosis, gonorrhea, typhoid, influenza, smallpox, and syphilis can cause testicular atrophy.  A low sperm count and low sperm motility are indicators of this condition.  Also, elevated FSH levels and other hormonal problems are indicative of testicular damage.  Some STDs like gonorrhea and chlamydia can cause infertility by blocking the epididimis or tubes.  These conditions are usually treated by hormonal replacement therapy and surgery in the case of tubular blockage.

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Hypothyroidism has no effect on male libido or semen quality. Endometriosis is usually more common in women in their mid-twenties and older, especially when postponed childbirth has taken place.[55] Another major cause of infertility in women may be the inability to ovulate. In the past, if the above methods didn’t work, it often meant lifelong male infertility. If the epididymis is blocked, sperm may not be ejaculated properly. Reversal of Vasectomy and the Treatment of Male Infertility. (PDF, 4 MB) Urologic Clinics of North America, 1981. Your doctor may suggest that you take gonadotropin if you have unexplained infertility or when other kinds of treatment haven't helped you get pregnant.

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Metabolic causes of infertility, other than in severely ill individuals, are rare. The following problems are possible: Low sperm count: The man ejaculates a low number of sperm. Your physician will examine you carefully to determine if you have fibroids and if removal is necessary. Immediate surgery is needed and, sadly, the tube on that side will be lost. Women receiving fertility treatment have a slightly higher risk of an ectopic pregnancy. 6,23 Anovulatory women should have further investigation to determine treatable causes such as thyroid disorders or hyperprolactinemia based on symptoms. 2 This encompasses couples with infertility and impaired ability to get pregnant, but it does not capture those who are not married, so actual numbers may be underestimated. Unexplained infertility[edit] In the US, up to 20% of infertile couples have unexplained infertility.[61] In these cases abnormalities are likely to be present but not detected by current methods. Broekmans FJ, Kwee J, Hendriks DJ, Mol BW, Lambalk CB. These time intervals would seem to be reversed; this is an area where public policy trumps science. There are a number of advantages to the patient with laparoscopic surgery versus the more common, open procedure.