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Some methods may be used in concert with other methods. These include: age smoking tobacco or marijuana drinking alcohol history of sexually transmitted infections stress poor diet When to see a doctor Anyone experiencing signs of infertility and who has been trying to conceive for more than a year (or 6 months if older than 35 years of age) may want to speak to a doctor for a thorough diagnosis. Options for treatment may include: Treatment with antibiotics, in cases of infection Surgical correction, in order to remove a varicocele, reverse a vasectomy, or repair a duct obstruction Medications or fertility drugs to improve sperm production In cases where the above treatments are unsuccessful, or when the cause of male infertility is unknown or untreatable, IUI treatment or IVF treatment may be suggested. According to Ross, “anything that improves quality of health, like adequate sleep and nutrition,” should improve fertility. This combination of laboratory test results may indicate ovarian insufficiency or diminished ovarian reserve.

Additionally, transvaginal ultrasound affords the opportunity for your physician to assess the relative number of available eggs. When this is not the case, a couple facing male infertility may turn to a sperm donor or adoption to help build their family. Intracytoplasmic Sperm Injection Today: A Personal Review. (PDF, 5 MB) Human Reproduction, 1998. 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. Quantitative Evaluation of Spermatogenesis by Testicular Histology in Men with Congenital Absence of the Vas Deferens Undergoing Epididymal Sperm Aspiration. (PDF, 3 MB) Human Reproduction, 1990.

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Menstrual blood is usually bright red at the beginning of a person's period and may get darker over the following days. Prolactin stimulates milk production during breastfeeding.

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Ovarian hyperstimulation syndrome (OHSS) usually results from taking medications to stimulate the ovaries, such as clomifene and gonadotrophins. Reproductive Biology. (PDF, 147 KB) The Scientist, 1996. If too many embryos develop, one or more can be removed.

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For a woman to conceive, certain things have to happen: vaginal intercourse must take place around the time when an egg is released from her ovary; the system that produces eggs has to be working at optimum levels; and her hormones must be balanced.[54] For women, problems with fertilisation arise mainly from either structural problems in the Fallopian tube or uterus or problems releasing eggs. For women, being underweight and having extremely low amounts of body fat are associated with ovarian dysfunction and infertility and they have a higher risk for preterm birth. Fertilizing Capacity of Epididymal and Testicular Sperm with ICSI. (PDF, 5 MB) Frontiers in Endocrinology, 1995. Once the follicles (fluid filled sacs containing the eggs) reach a mature size, an HCG injection is administered which leads to final development and maturation of the eggs. Aetiology of Congenital Absence of Vas Deferens: Genetic Study of Three Generations. (PDF, 4 MB) Human Reproduction, 1993. There may be testicular malformations, hormone imbalance, or blockage of the man's duct system. Painful or heavy periods Most women experience cramps with their periods. However, future pregnancy is possible with the other ovary and tube. Causes of Female Infertility The following causes may lead to infertility in women: Pelvic inflammatory disease, which can lead to blocked or damaged fallopian tubes. Factors contributing to the formation of antisperm antibodies in women are disturbance of normal immunoregulatory mechanisms, infection, violation of the integrity of the mucous membranes, rape and unprotected oral or anal sex. In other cases, the cause is suspected to be immunological or genetic; it may be that each partner is independently fertile but the couple cannot conceive together without assistance. Overheated testicles: Causes include an undescended testicle, a varicocele, or varicose vein in the scrotum, the use of saunas or hot tubs, wearing tight clothes, and working in hot environments.