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As the major causes of infertility are sperm abnormalities, ovulation dysfunction, and fallopian tube obstruction, the preliminary adviced investigations for the infertile couple should be focused on semen analysis (to be compared with the WHO reference values [27]), detection of ovarian function by hormonal assay (early follicular FSH and LH levels, and mid-luteal progesterone), and evaluation of tubal patency by hysterosalpingography (HSG) [17-32], (Appendix 3). If conservative medical treatments fail to achieve a full term pregnancy, the physician or WHNP may suggest the patient undergo in vitro fertilization (IVF). Both infertility and subfertility are defined as the inability to conceive after a certain period of time (the length of which vary), so often the two terms overlap. Non-steroidal anti-inflammatory drugs (NSAIDs): Long-term use of aspirin or ibuprofen may make it harder to conceive. Delayed conception and active and passive smoking. It is further sub-divided into primary and secondary sterility.

A woman who keeps having miscarriages is also considered infertile. Ovulation should be documented by serum progesterone level measurement at cycle day 21. Trauma, previous attempts at sperm aspiration, and inguinal surgery may also result in ductal blockage.

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The testicle contains the Leydig cells and the Sertoli cells and is covered by the tunica albuginea, which also provides septae that divide it into approximately 200-350 pyramids (see image below). In such cases, the vas deferens connecting the testicle and prostate is not formed. Intrauterine insemination 50% of women will conceive after 6 cycles. Half of the unsuccessful ones, will conceive with further 6 cycles. It is artificial introduction of semen inside the female’s uterus. Success rate varies, lie between 15% to 20% per cycle.

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Infertility caused by DNA defects on the Y chromosome is passed on from father to son. 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. ART techniques generally start with stimulating the ovaries to increase egg production. Only an additional 7% of couples will conceive in the second year.

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About 10% to 15% of couples will not be able to achieve pregnancy after one year of unprotected intercourse. These medications are forms of reproductive Source : Embryo Dispositionoptions PPT Presentation Summary : Nashville Fertility Center Physicians Nursing staff Qualified mental health professional Nashville fertility Center can provide you with names of mental health Source : Fertility Preservation for Cancer Patients PPT Presentation Summary : For female pre-cancer treatment fertility consultation, ... address the possibility of infertility with patients ... of fertility preservation for any reason, Source : Inscribed By Nature PPT Presentation Summary : We seem to think that we can substitute an irreplaceable and irretrievable beauty with something which we have created ourselves”. In current practice, an alternative for patients with more than 5 sizable follicles is to convert the treatment to IVF. Treatment of tubal obstruction generally requires referral for subspecialty care. Fertility may improve after adopting a gluten-free diet.Infertility: Introduction Infertility is a significant social and medical problem affecting couples worldwide. The woman may be given a low dose of ovary stimulating hormones. Gonadotrophins for idiopathic male factor subfertility. Counseling about options should be offered to couples who are not physically able to conceive (i.e., same-sex couples or persons lacking reproductive organs).