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Requirements for Female Fertility (Continued) Other requirements for female fertility include: Adequate sexual drive and sexual function to permit coitus. 6,8,23 A high FSH level (10 to 20 mIU per mL [10 to 20 IU per L]) drawn on day 3 of the menstrual cycle is associated with infertility. A doctor or WHNP takes a medical history and gives a physical examination. It works in the following way: Clomiphene is an anti-estrogen. About 10% of reproductive age women are affected by endometriosis. Treatment Treatment will depend on many factors, including the age of the person who wishes to conceive, how long the infertility has lasted, personal preferences, and their general state of health.

Female factor Dysfunction of the female reproductive organs is also apparent in around 40% of infertile couples. Debate: Are Spermatid Injections of any Clinical Value? (PDF, 6 MB) Human Reproduction, 1998.

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It is often prescribed for Crohn's disease or rheumatoid arthritis. Oei SG, Helmerhorst FM, Bloemenkamp KW, Hollants FA, Meerpoel DE, Keirse MJ. Come and meet us to find out more about how we can help you. 7) Endometriosis: Endometriosis is a condition whereby cells very similar to the ones lining the uterine cavity, or endometrium, are found outside the uterine cavity.

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Chronic conditions: These include AIDS or cancer. The abdomen is usually insufflated with carbon dioxide gas. Couples will have to consider the ethical and emotional aspects of this procedure. 8 Counseling on lifestyle modifications is reasonable because exposures to tobacco and alcohol are associated with lower rates of fertility. Each day of abstinence is typically associated with an increase in semen volume of 0.

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The enzyme aromatase is responsible for this conversion, and is found primarily in adipose tissue. Endometrial polyps Endometrial polyps are removed through operative hysteroscopy associated with a dilatation and curettage, if necessary. Germ cells interdigitate with the Sertoli cells and undergo ordered maturation, migrating toward the lumen as they mature. A variety of disorders ranging from hormonal disturbances to physical problems, to psychological problems can cause male infertility.  Although many treatment options are now available, in many cases treatment will not work.  In many instances, male infertility is caused by testicular damage resulting in an inability of the testicle to produce sperm.  Once damaged, the testicle will not usually regain its sperm-making capabilities; this aspect of male infertility is analogous to menopause (though not natural like menopause) for women and cannot usually be treated.  Despite medicine�s limited ability to treat male infertility, many successful treatment options are available for its many causes.  Besides testicular damage, the main causes of male infertility are low sperm production and poor sperm quality.   The Causes of Male Infertility Male infertility has many causes--from hormonal imbalances, to physical problems, to psychological and/or behavioral problems.  Moreover, fertility reflects a man�s �overall� health.  Men who live a healthy lifestyle are more likely to produce healthy sperm.  The following list highlights some lifestyle choices that negatively impact male fertility--it is not all-inclusive: · Smoking--significantly decreases both sperm count and sperm cell motility. · Prolonged use of marijuana and other recreational drugs. · Chronic alcohol abuse. · Anabolic steroid use--causes testicular shrinkage and infertility. · Overly intense exercise--produces high levels of adrenal steroid hormones which cause a    testosterone deficiency resulting in infertility. · Inadequate vitamin C and Zinc in the diet. · Tight underwear--increases scrotal temperature which results in decreased sperm production. · Exposure to environmental hazards and toxins such as pesticides, lead, paint, radiation, radioactive   substances, mercury,  benzene, boron, and heavy metals · Malnutrition and anemia. · Excessive stress! In 10% of all cases, the cause is unknown: unexplained infertil Do you need help?  We can help you with a no-obligation Causes of infertility and sterility in women Diseases of the ovary and the uterus: Endometriosis is the reason behind many sterility issues. Close Diagnosing Sterility If you and your partner have been trying for more than a year to become pregnant, or both of you are over thirty and battling, it is good idea consult your gynecologist, obstetrician or urologist for further investigation. If you suspect you are infertile, see your doctor. Women in group III can conceive only with oocyte donation and in vitro fertilization. Earn up to 6 CME credits per issue.     To see the full article, log in or purchase access. Reversal of Vasectomy and the Treatment of Male Infertility. (PDF, 4 MB) Journal of Andrology, 1980.