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This results in normal or enhanced follicular recruitment without the risk of multiple ovulation and ovarian hyperstimulation syndrome. World Health Organization[edit] The World Health Organization defines infertility as follows:[10] United States[edit] One definition of infertility that is frequently used in the United States by reproductive endocrinologists, doctors who specialize in infertility, to consider a couple eligible for treatment is: a woman under 35 has not conceived after 12 months of contraceptive-free intercourse.

Veltman-Verhulst SM, Cohlen BJ, Hughes E, Heineman MJ. This can reveal signs of endometriosis, scarring, blockages, and some irregularities of the uterus and fallopian tubes. Possible problems could be that the egg is not released at the optimum time for fertilization, that it may not enter the fallopian tube, sperm may not be able to reach the egg, fertilization may fail to occur, transport of the zygote may be disturbed, or implantation fails. 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).

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Semen analysis: A sample may be taken to test for sperm concentration, motility, color, quality, any infections, and whether any blood is present. Tubal obstruction and lysis of adhesions can be corrected through laparotomy, operative laparoscopy, and, in special circumstances, through operative hysteroscopy and tubal cannulation. However, in our modern era, women are delaying child birth until their thirties and forties, which has lead to the discovery of the adverse effect of advanced maternal age on egg function.

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In closed social groups, a degree of rejection (or a sense of being rejected by the couple) may cause considerable anxiety and disappointment. Normal Fertilization of Human Oocytes after Testicular Sperm Extraction and Intracytoplasmic Sperm Injection.(PDF, 2 MB) Fertility and Sterility, 1994.

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Coital frequency is positively correlated with pregnancy rates. For one, don’t do things to hurt your chances to have viable sperm — marijuana, cocaine, tobacco, and more than two alcoholic drinks a day harm sperm production, says Ross. Lead, toxic fumes and exposure to pesticides are suspected contributors to infertility. They can include: Changes in hair growth Changes in sexual desire Pain, lump, or swelling in the testicles Problems with erections and ejaculation Small, firm testicles   When to See the Doctor If you are under 35 and have been trying to get pregnant without success for a year, see your doctor. The more fetuses there are, the higher the risk of premature labor. Erectile dysfunction Erectile dysfunction is when a man cannot get or keep an erection (get hard) for sex. In men who have the necessary reproductive organs to procreate, infertility can be caused by low sperm count due to endocrine problems, drugs, radiation, or infection. Management of the infertile couple: an evidence-based protocol. Outlook For couples who experience fertility problems and those who wish to have children at an older age, there are more options available than ever before. In vitro fertilization (IVF). In this technique, your doctor places into your uterus that were fertilized in a dish. Image: “Bilateral multilocular cystic masses in a patient with ovarian hyperstimulation syndrome in a spontaneous pregnancy with invasive mole” by openi. Hormonal abnormalities can sometimes be treated with medicine or surgery. It's sometimes done while you're taking meds that help trigger the release of an egg. The most commonly prescribed injections that stimulate the ovary are called gonadotropins. Normal uterine implantation can therefore not occur.