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Demographic definitions of infertility An inability of those of reproductive age (15-49 years) to become or remain pregnant within five years of exposure to pregnancy. (DHS2) An inability to become pregnant with a live birth, within five years of exposure based upon a consistent union status, lack of contraceptive use, non-lactating and maintaining a desire for a child. (Trends in prevalence4). Blood test: This can assess hormone levels and whether a woman is ovulating. Physical exam A directed physical exam that may include a pelvic ultrasound should be performed.

Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989. Obesity and increased risk for oligozoospermia and azoospermia.

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Normal Fertilization of Human Oocytes after Testicular Sperm Extraction and Intracytoplasmic Sperm Injection.(PDF, 2 MB) Fertility and Sterility, 1994. It makes the pituitary gland release more follicle-stimulating hormone (FSH) and luteinizing hormone (LH). Having an irregular cycle, including missing periods, can contribute to infertility, as it means a woman may not be regularly ovulating. Pregnancies after Testicular Sperm Extraction and Intracytoplasmic Sperm Injection in Non-obstructive Azoospermia. (PDF, 3 MB) Human Reproduction, 1995. Congenital Absence of the Vas Deferens: The Fertilizing Capacity of Human Epididymal Sperm. (PDF, 3 MB) New England Journal of Medicine, 1990.

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Infertility FAQs Male Infertility Best Practice Policy Committee of the American Urological Association & Practice Committee of the American Society of Reproductive Medicine. (2006). Low weight: Obesity is not the only way in which weight can impact fertility.

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A woman of reproductive age who is using artificial insemination to conceive (with either partner or donor sperm) after 6 failed trials. Consider earlier referral to infertility specialists where: - the woman is aged 36 years or over. - there is a known clinical cause of infertility or a history of predisposing factors for infertility. - treatment is planned that may result in infertility (such as treatment for cancer). - People who are concerned about their fertility and who are known to have chronic viral infections such as hepatitis B, hepatitis C or HIV. Testicular Neoplasm in Father and Son. (PDF, 561 KB) The Journal of Urology, 1972. Erectile dysfunction or premature ejaculation: Medication, behavioral approaches, or both may help improve fertility. 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. No Differences in Outcome after Intracytoplasmic Sperm Injection with Fresh or with Frozen-thawed Epididymal Spermatozoa. (PDF, 66 KB) Human Reproduction, 1999. Surgeons must use tools to interact with tissue rather than manipulate it directly with their hands. 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. Gracia CR, Sammel MD, Coutifaris C, Guzick DS, Barnhart KT. Of the successful pregnancies, 85% are achieved within the first 4 cycles of intrauterine inseminations. Further reading[edit] Fertility: Assessment and Treatment for People with Fertility Problems. Contents Signs and symptoms[edit] Anovulation is usually associated with specific symptoms.