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Uterine surgery: - Women with amenorrhoea who are found to have intrauterine adhesions should be offered hysteroscopic adhesiolysis because this is likely to restore menstruation and improve the chance of pregnancy. Mental stress: This may affect female ovulation and male sperm production and can lead to reduced sexual activity. Carcinoma in the Bladder Left Behind. (PDF, 3 MB) The Journal of Urology, 1973. Some women are infertile because their ovaries do not mature and release eggs.

The later they are detected, the more complicated having children becomes. 50% are female causes with 25% being due to anovulation and 25% tubal problems/other.[74] In Sweden, approximately 10% of couples wanting children are infertile.[75] In approximately one third of these cases the man is the factor, in one third the woman is the factor, and in the remaining third the infertility is a product of factors on both parts. As new technology becomes available, fertility treatment is now accessible to more people, and success rates and safety are improving all the time. Typical drugs are clomifene, cyclofenil, tamoxifen, and epimestrol among others. An estimated 34 million women, predominantly from developing countries, have infertility which resulted from maternal sepsis and unsafe abortion (long term maternal morbidity resulting in a disability).

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Most problems are related to premature labor and pregnancy loss. It is often defined as not conceiving after 12 months of regular sexual intercourse without the use of birth control.

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Some methods may be used in concert with other methods. In addition to the components already listed, semen is also composed of secretions from the bulbourethral (Cowper) glands and the (periurethral) glands of Litre, each producing 2-5% of the ejaculate volume, serving mainly to lubricate the urethra and to buffer the acidity of the residual urine.

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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. However, if you haven’t had your period in months, it might be a good idea to seek medical advice.  Heavy and/or painful periods: Periods that hamper your daily activity may be a symptom of fibroids in the uterus or endometriosis. Male infertility refers to a male’s inability to cause a pregnancy in a fertile female.   Causes vary.   Testing is available.   Medication or surgery. 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. A history and physical examination can help direct the evaluation. Microsurgical Reversal of Tubal Sterilization: Factors Affecting Pregnancy Rate, with Long-term Follow-up. (PDF, 2 MB) Obstetrics & Gynecology, 1984.