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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. Renal Transplantation Between Adults and Children. (PDF, 1 MB) Journal of the American Medical Association, 1974. Women receiving fertility treatment have a slightly higher risk of an ectopic pregnancy. Cryopreservation: Cryopreservation of semen, oocytes or embryos should be offered to anyone who may undergo treatment that may affect his/her fertility. (e.g.: chemotherapy for cancer). For cancer-related fertility preservation, do not apply the eligibility criteria used for conventional infertility treatment. Do not use a lower age limit for cryopreservation for fertility preservation in people diagnosed with cancer. Ovulation often can be detected by keeping a menstrual calendar or using an ovulation predictor kit.

You take gonadotropins that trigger the development of more than one egg. Even with the testis shielded, radiation therapy below the diaphragm may lead to infertility due to the release of reactive oxygen free radicals.

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Normal Pregnancies Resulting from Testicular Sperm Extraction and Intracytoplasmic Sperm Injection for Azoospermia Due to Maturation Arrest. (PDF, 6 MB) Fertility and Sterility, 1996. Having sex near the time of ovulation is the best way to increase the chance of becoming pregnant. Prolactinoma A prolactin-secreting adenoma is the most common functional pituitary tumor. Y Chromosome Deletions in Azoospermic and Severely Oligozoospermic Men Undergoing Intracytoplasmic Sperm Injection after Testicular Sperm Extraction. (PDF, 336 KB) Human Reproduction, 1998. Other causes may include: Genetic factors: A man should have an X and Y chromosome.

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Vasectomy. (PDF, 5 MB) From the Encyclopedia of Reproduction, 1999. Some respond by actively avoiding the issue altogether; middle-class men are the most likely to respond in this way.[21] In the United States some treatments for infertility, including diagnostic tests, surgery and therapy for depression, can qualify one for Family and Medical Leave Act leave.

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In 1901, Georg Kelling of Dresden, Germany, performed the first laparoscopic procedure in dogs, and, in 1910, Hans Christian Jacobaeus of Sweden performed the first laparoscopic operation in humans.[35] In the ensuing several decades, numerous individuals refined and popularized the approach further for laparoscopy. Cushing disease Increased cortisol levels cause a negative feedback on the hypothalamus, decreasing GnRH release. Artificial Insemination In this process, male sperm is introduced into the female genital tract in order to achieve fertilization. Varicocele A varicocele is a dilation of the veins of the pampiniform plexus of the scrotum. STUDIES DEMOGRAPHIC DATA EVALUATION TOPIC: FERTILITY MEASURES LECTURER: MISS ADETORO GBEMISOLA W. The elevated temperature hinders the maturation process of sperm, which develop best in an environment that is slightly cooler than body temperature. After one year of having unprotected sex, about 15 percent of couples are unable to get pregnant. Long-term Economic Benefits Attributed to IVF-conceived Children: A Lifetime Tax Calculation. (PDF, 225 KB) The American Journal of Managed Care, 2008. 40 Patients using these agents should be counseled about these risks.