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The treatment approach depends on the cause(s) of the infertility. Most people will have the strong desire to conceive a child at some point during their lifetime. Primary vs. secondary infertility[edit] Primary infertility is defined as the absence of a live birth for women who desire a child and have been in a union for at least 12 months, during which they have not used any contraceptives.[14] The World Health Organisation also adds that 'women whose pregnancy spontaneously miscarries, or whose pregnancy results in a still born child, without ever having had a live birth would present with primarily infertility'.[15] Secondary infertility is defined as the absence of a live birth for women who desire a child and have been in a union for at least 12 months since their last live birth, during which they did not use any contraceptives.[15] Thus the distinguishing feature is whether or not the couple have ever had a pregnancy which led to a live birth.

Quantitative Analysis of Testicle Biopsy: Determination of Partial Obstruction and Prediction of Sperm Count after Surgery for Obstruction. (PDF, 4 MB) Fertility and Sterility, 1981. Gerrits T, Shaw M (2010). "Biomedical infertility care in sub-Saharan Africa: a social science review of current practices, experiences and view points". Abnormalities of sperm may be treated with gonadotropin therapy, intrauterine insemination, or in vitro fertilization.

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The seminal vesicles provide 40-80% of the semen volume, which includes fructose for sperm nutrition, prostaglandins and other coagulating substances, and bicarbonate to buffer the acidic vaginal vault. In the 1980s, a pure form of FSH became available. It does not affect the couples' life only, but it also affects the healthcare services and social environment [4]. Dealing with Fertility Problems After Vasectomy Reversal. (PDF, 7 MB) Contemporary OB/GYN, 1978. In fact, endometriosis accounts for roughly 20 to 40 percent of women’s infertility issues.  Pain during sex: Painful sex for women is so normalized that many think it’s just a part of life. These endometrial cells can extend as far as the outside of the fallopian tubes, the ovaries and the bladder.

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Regression of Metastases after Nephrectomy for Renal Cell Carcinoma. (PDF, 1 MB) British Journal of Urology, 1975. Minimal Ovarian Stimulation (mini-IVF) for IVF Utilizing Vitrification and Cryopreserved Embryo Transfer. (PDF, 406 KB) Reproductive BioMedicine Online, 2010. The predictive value of hysterosalpingography for tubal and peritoneal infertility factors. It is often defined as not conceiving after 12 months of regular sexual intercourse without the use of birth control. Although sperm quality deteriorates as men age, this does not create a problem until after the age of 60.

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Infection: Some infections, such as gonorrhea or inflammation of the testicles, can affect sperm production or sperm health or can cause scarring that blocks the passage of sperm. It can also help if a man has severe erectile dysfunction. Endometriosis  Endometriosis is a condition where the inner lining of the uterus, known as the endometrium, attaches and grows in other areas. Theoretically, with this therapy, we can get artificial gamets in vitro. 6 The initial history should cover menstrual history, timing and frequency of intercourse, previous use of contraception, previous pregnancies and outcomes, pelvic infections, medication use, occupational exposures, substance abuse, alcohol intake, tobacco use, and previous surgery on reproductive organs. Options include intrauterine insemination (also known as IUI) or IVF with intracytoplasmic sperm injection (also known as ICSI).