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DEFINITION OF TERMS Source : Endometriosis & infertility PPT Presentation Summary : Fertility Issues. Diagnostic evaluation of the infertile female: a committee opinion. Surprisingly, the complete absence of sperm in the semen (a condition known as azoospermia), can be a good thing. Risk factors Risk factors that increase the risk include: Smoking significantly increases your risk of infertility Age: The ability to conceive starts to fall around the age of 32 years. Therefore we recommend a fertility evaluation if a couple has been attempting pregnancy for 6 months or more when the woman is 35 years of age or older. As the amount of adipose tissue increases, there is more aromatase available to convert androgens, and serum estradiol levels increase.

Furthermore, as aging occurs, egg quality, or the likelihood of an egg being genetically normal, decreases. Follicle-stimulating hormone (Gonal-F, Bravelle): This hormone is produced by the pituitary gland that controls estrogen production by the ovaries.

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Blood test: The lab will test for levels of testosterone and other hormones. Unexplained infertility[edit] In the US, up to 20% of infertile couples have unexplained infertility.[61] In these cases abnormalities are likely to be present but not detected by current methods. Options include intrauterine insemination (also known as IUI) or IVF with intracytoplasmic sperm injection (also known as ICSI).

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Charting of the menstrual cycle may be done by hand, or with the aid of various fertility monitors. Limits were placed on language and human race as well.

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Assisted hatching: The embryologist opens a small hole in the outer membrane of the embryo, known as the zona pellucid. Laboratory studies have suggested that long-term acetaminophen use during pregnancy may affect fertility in males by lowering testosterone production. This abnormality is usually surgically corrected in infancy. Fibroids that distort the uterine cavity have an impact on the ability of an embryo to implant and should be removed surgically. Instructions for collecting the sample should include abstinence from ejaculation for 48 to 72 hours. 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. Evaluation of the uterus and fallopian tubes can be performed by hysterosalpingography in women with no risk of obstruction.