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Exposure to chemicals: Pesticides, for example, may increase the risk. However, about one in five cases of infertility has no clear diagnosed cause.[73] In Britain, male factor infertility accounts for 25% of infertile couples, while 25% remain unexplained. Epidemiological definition of infertility (for monitoring and surveillance) Women of reproductive age (15–49 years) at risk of becoming pregnant (not pregnant, sexually active, not using contraception and not lactating) who report trying unsuccessfully for a pregnancy for two years or more. (Reproductive Health Indicators) Infertility as a disability Disability: Infertility generates disability (an impairment of function), and thus access to health care falls under the Convention on the Rights of Persons with Disability. His first atlas, More Details on Pelviscopy and Hysteroscopy was published in 1976, a slide atlas on pelviscopy, hysteroscopy, and fetoscopy in 1979, and his books on gynecological endoscopic surgery in German, English, and many other languages in 1984, 1987, and 2002. There may be testicular malformations, hormone imbalance, or blockage of the man's duct system.

Not long after, the United States delivered its first IVF baby, and the use of IVF has grown dramatically. European Association of Urology guidelines on male infertility: the 2012 update.

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Computer-aided semen analysis (CASA) Introduced in the late 1980s, CASA uses a video camera and computer to visualize and analyze sperm concentration and movement. Frequency of intercourse Probability of conception (within 6 months) 1 time per week 17 % 3 times per week 50 % 6. An abnormal semen analysis warrants a further evaluation usually by a reproductive urologist. Before treating cornual obstruction, the diagnosis should be confirmed.

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Group II: hypothalamic-pituitary-ovarian dysfunction (predominately polycystic ovary syndrome). For intrauterine insemination, in vitro fertilization, and intracytoplasmic sperm injection procedures, the removal of certain components of the ejaculate (ie, seminal fluid, excess cellular debris, leukocytes, morphologically abnormal sperm) with the retention of the motile fraction of sperm is desirable. Exposure to some chemicals: Some pesticides, herbicides, metals, such as lead, and solvents have been linked to fertility problems in both men and women.

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Which drug can be used for induction of ovulation? Practice Committee of the American Society for Reproductive Medicine in collaboration with the Society for Reproductive Endocrinology and Infertility. (2008). Intravenous fluids (ie, isotonic sodium chloride solution) must be administered until hemodilution is achieved. Fibroids that distort the uterine cavity have an impact on the ability of an embryo to implant and should be removed surgically. 32. Semen used is filtered for washing and grading through one of various processes use. Practice Committee of American Society for Reproductive Medicine. The Male-specific Region of the Human Y Chromsome is a Mosaic of Discrete Sequence Classes. (PDF, 754 KB) Nature, 2003. Laparoscopy for Cryptorchidism. (PDF, 1 MB) The Journal of Urology, 1980. 1,2 However, if your partner is 35 years old or over, you or your partner may be considered infertile if you haven’t conceived after 6 months of unprotected sex. Chromosomal abnormalities An estimated 6-13% of infertile men have chromosomal abnormalities (compared with 0.