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Demographic definitions of infertility An inability of those of reproductive age (15-49 years) to become or remain pregnant within five years of exposure to pregnancy. (DHS2) An inability to become pregnant with a live birth, within five years of exposure based upon a consistent union status, lack of contraceptive use, non-lactating and maintaining a desire for a child. (Trends in prevalence4). IVF and other fertility treatments have resulted in an increase in multiple births, provoking ethical analysis because of the link between multiple pregnancies, premature birth, and a host of health problems. 8 Involvement in group counseling and exercise is more effective than weight loss advice alone. Lifetime prevalence of infertility and infertility treatment in the UK: results from a population-based survey of reproduction. A Modern Approach to Male Infertility. (PDF, 2 MB) Serono Symposia, Insights Into Infertility Newsletter, 1997.

Some women are infertile because their ovaries do not mature and release eggs. However, these tests have only poor to moderate predictive value despite widespread use. Furthermore, if there is a background of gynaecological or andrological issues in the couple, a study should be carried out as soon as possible. Estrogen causes negative feedback on the pituitary gland, inhibiting LH and FSH release. These risks include: Age (past age 40, men experience more fertility problems).

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6-Mb Deletion of the Human Y Chromosome Persists Through Balance Between Recurrent Mutation and Haploid Selection. (PDF, 295 KB) Nature Genetics, 2003. Hystersalpingography (HSG): Further investigations 17. Investigation of suspected tubal and uterine abnormalities: 2. The doctor may ask about the couple's sexual habits and make recommendations regarding these. Intracytoplasmic sperm injection is a process by which semen is washed and prepared for direct injection of one sperm into each egg collected during the IVF process.

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Peritubaric adhesions can be caused by endometriosis. During ejaculation, the ejaculate is propelled forward by the rhythmic contractions of the smooth muscle that surrounds the ducts and by the bulbourethral muscles and other pelvic muscles. The effect of age upon men's fertility is less clear.[citation needed] In people going forward for IVF in the UK, roughly half of fertility problems with a diagnosed cause are due to problems with the man, and about half due to problems with the woman. Dealing with Fertility Problems After Vasectomy Reversal. (PDF, 7 MB) Contemporary OB/GYN, 1978.

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Silent Sorority: A Barren Woman Gets Busy, Angry, Lost and Found.I was 26 years old when I was first diagnosed with infertility. Vasoepididymostomy to the Head of the Epididymis: Recovery of Normal Spermatozoal Motility. (PDF, 3 MB)Fertility and Sterility, 1980. Cervical factors are also thought to play a minor role, although they are rarely the sole cause. Perfect Anatomical Reconstruction of Vas Deferens with a new Microscopic Surgical Technique. (PDF, 19 MB)Fertility and Sterility, 1977. Some people find that joining a support group helps, as it offers the chance to talk to others in a similar situation. ICSI offers a high pregnancy rate and 70—80 % of eggs are fertilized through this technique. Removal of polyps by the minimally invasive procedure hysteroscopy is associated with a doubling of pregnancy rate. The eggs may never be released or they may only be released in some cycles. More than 60% of sperm should be normal, and less than 2-3% should be immature. Enzymatic Digestion of Testicular Tissue May Rescue the Intracytoplasmic Sperm Injection Cycle in Some Patients with Non-obstructive Azoospermia. (PDF, 66 KB) Human Reproduction, 1998. Prolactin stimulates milk production during breastfeeding.