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Bhaskar Dutta/Photoshare Clinical definitions Infertility is “a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse.”… (WHO-ICMART glossary1). “Infertility is the inability of a sexually active, non-contracepting couple to achieve pregnancy in one year. Breeding with a proven fertile male must occur at the optimal time for the female.

For a woman to be fertile, the ovaries must release healthy eggs regularly. Women with anovulation may be treated in the primary care setting with clomiphene to induce ovulation. As a result, infertility has come to be defined as the inability to conceive within 12 months. Causes include: Surgery: Pelvic surgery can sometimes cause scarring or damage to the fallopian tubes. Women in group III can conceive only with oocyte donation and in vitro fertilization.

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Men who are underweight tend to have lower sperm concentrations than those who are at a normal BMI. Abnormal semen may not be able to carry the sperm effectively. Reproductive Biology. (PDF, 147 KB) The Scientist, 1996. There are medications to help increase the chance of getting and keeping an erection. A failure of GnRH neurons to migrate to the proper location in the hypothalamus has been implicated.

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In this regard, keyhole surgery can be a disadvantage.[23] Risks[edit] Some of the risks are briefly described below: The most significant risks are from trocar injuries during insertion into the abdominal cavity, as the trocar is typically inserted blindly. Men with Infertility Caused by AZFc Deletion can Produce Sons by Intracytoplasmic Sperm Injection, but are Likely to Transmit the Deletion and Infertility. (PDF, 102 KB) Human Reproduction, 1999. High-cost treatments are out of financial reach for some couples. Clinical diagnostic testing for the cytogenetic and molecular causes of male infertility: the Mayo Clinic experience. This should be followed by documentation of ovulation via serum progesterone.

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The Treatment of Azoospermia with Surgery and ICSI. (PDF, 4 MB) Chapter 10 from Male Fertility & Infertility, 1998. Blood test: The lab will test for levels of testosterone and other hormones. Primary testicular causes of infertility Primary testicular problems may be chromosomal or nonchromosomal in nature. The CC response is monitored using pelvic ultrasonography starting on menstrual cycle day 12. The 3 classes of surgical techniques are conventional laparotomy, operative laparoscopy, and operative hysteroscopy, as follows: Laparotomy: This technique is indicated for large myomas, for submucous myomas larger than 3 cm in diameter, or for myomas that, regardless of being submucous, have a portion of the myoma that compromises the myometrium so that a complete resection through the hysteroscopy is not feasible. WHAT'S THE DIFFERENCE BETWEEN PRIMARY AND SECONDARY STERILITY? Temporal relationship and reliability of the clinical, hormonal, and ultrasonographic indices of ovulation in infertile women. Group II: hypothalamic-pituitary-ovarian dysfunction (predominately polycystic ovary syndrome). Practice Committee of American Society for Reproductive Medicine in collaboration with Society for Reproductive Endocrinology and Infertility. For unknown reasons, as women age, egg numbers decrease at a rapid rate.