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STUDIES DEMOGRAPHIC DATA EVALUATION TOPIC: FERTILITY MEASURES LECTURER: MISS ADETORO GBEMISOLA W. In the body, testosterone circulates 2% in the free form, 44% bound to sex hormone–binding globulin (SHBG), and 54% bound to albumin. The pregnancy test is then performed 2 weeks after the egg retrieval. The dynamics of stress in fertile and infertile couples. Psychological/Physical/Behavioral Problems: Several sexual problems exist that can affect male fertility.  These problems are most often both psychological and physical in nature:  it is difficult to separate the physiological and physical components.

A Modern Approach to Male Infertility. (PDF, 2 MB) Serono Symposia, Insights Into Infertility Newsletter, 1997. Sign up for the free AFP email table of contents.Infertility definitions and terminology A couple sits at the bank of a lake in Ahmedabad, India. Hysterosalpingogram (HSG) – This test is essential for evaluating fallopian tubal patency, uterine filling defects such as fibroids and polyps, and scarring of the uterine cavity (Asherman syndrome). In some cases, the reproductive urologist can improve semen function by recommending certain lifestyle changes, by hormonal treatments, or by surgery.

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Not long after, the United States delivered its first IVF baby, and the use of IVF has grown dramatically. Society and culture[edit] Perhaps except for infertility in science fiction, films and other fiction depicting emotional struggles of assisted reproductive technology have had an upswing first in the latter part of the 2000s decade, although the techniques have been available for decades.[76] Yet, the number of people that can relate to it by personal experience in one way or another is ever growing, and the variety of trials and struggles is huge.[76] Pixar's Up contains a depiction of infertility in an extended life montage that lasts the first few minutes of the film.[77] Other individual examples are referred to individual subarticles of assisted reproductive technology Ethics[edit] There are several ethical issues associated with infertility and its treatment. The most common identifiable causes of female fertility problems are outlined below: • Ovulatory dysfunction, (or anovulation) where an egg is not released from the ovary every month, is the single most common cause of female infertility. When the eggs are mature, your doctor collects them with a device called a vaginal ultrasound probe.

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Hysterosalpingography: Fluid is injected into the woman's uterus and X-rays are taken to determine whether the fluid travels properly out of the uterus and into the fallopian tubes. As the amount of adipose tissue increases, there is more aromatase available to convert androgens, and serum estradiol levels increase. Partners may become more anxious to conceive, increasing sexual dysfunction.[17] Marital discord often develops, especially when they are under pressure to make medical decisions.

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A low testosterone level with a low FSH level signals a secondary cause. They include: Clomifene (Clomid, Serophene): This encourages ovulation in those who ovulate either irregularly or not at all, because of PCOS or another disorder. Factors Affecting Fertility: Timing of Intercourse Intercourse prior to ovulation is key to maximizing the chance of pregnancy. With irregular periods, the cycle is so unpredictable that it’s impossible to know when the next one will come. Using these criteria, he reported a clinically significant threshold of 14% normal forms as an excellent predictor of IVF success. Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989. These may be purchased over the counter and allow couples to predict the most fertile days in the cycle. Infertility is defined as the inability to become pregnant after 12 months of regular, unprotected intercourse. Preconception lifestyle advice for people with subfertility. Medications, treatments, and drugs Some drugs can affect fertility in a woman. The fertilized eggs, now embryos, are allowed to grow and develop in culture media for typically 3 to 5 days.