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Paternal age > or = 40 years: an important risk factor for infertility. They can often recommend a counselor and others who can offer appropriate support. 4) Uterine fibroids: Fibroids are very common (approximately 40% of women may have them) and the mere presence alone does not necessarily cause infertility. Illegal drugs: Some women who use marijuana or cocaine may have fertility problems.

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. High-cost treatments are out of financial reach for some couples.

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The initial dosage of clomiphene is 50 mg daily for five days starting on day 3 to 5 of the menstrual cycle. Erectile dysfunction or premature ejaculation: Medication, behavioral approaches, or both may help improve fertility. Low testosterone (male hypogonadism) and other hormonal problems have a number of possible underlying causes. There are many disorders that may impact the ability for a woman to ovulate normally.

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A mouse study has suggested that ingredients in some household detergents may reduce fertility. If a blockage is present, surgery may be necessary. Your doctor will determine if you are at risk of having endometriosis based on a careful history, physical exam, and ultrasound. If the tubes are blocked, the sperm cannot travel into and out of the penis making it impossible for the sperm to ever meet with and fertilize an egg. Menstrual blood is usually bright red at the beginning of a person's period and may get darker over the following days.

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It is said to be the most reliable way of confirming whether ovulation has occurred.[12] Women may also use ovulation predictor kits (OPKs) which detect the increase in luteinizing hormone (LH) levels that usually indicates imminent ovulation. Semen and sperm Sometimes the sperm cannot travel effectively to meet the egg. Typical drugs are clomifene, cyclofenil, tamoxifen, and epimestrol among others. Treatment for Infertility 1) Education: We strongly believe that educating our patients about the normal process of fertility, problems that affect fertility, and treatment options will empower our patients to make the best choices. Polycystic ovary syndrome (PCOS): The ovaries function abnormally and ovulation may not occur. Symptoms of hormonal imbalance: Sudden weight gain, hair loss, constant fatigue, edema, headaches, nipple discharge, facial hair, or severe acne are all signs of possible hormonal disorders. Mental stress: This may affect female ovulation and male sperm production and can lead to reduced sexual activity. Existing definitions of infertility lack uniformity, rendering comparisons in prevalence between countries or over time problematic.