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Bhaskar Dutta/Photoshare Clinical definitions Infertility is “a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse.”… (WHO-ICMART glossary1). “Infertility is the inability of a sexually active, non-contracepting couple to achieve pregnancy in one year. Various parameters are measured, such as ejaculate volume and sperm density, quality, motility, and morphology. A special type of laparoscope called a fertiloscope, which is modified for transvaginal application, can be used.

Exposure to chemicals: Pesticides, for example, may increase the risk. Treatment options available for any particular infertile couple will depend also on the duration of their infertility, which partner is affected, the age of the female partner and if any has a previous children or not, the underlying pathological cause, and if the treatment will be covered by the National Health System (NHS) or funded by their own. Small or firm testicles could indicate potential issues that should be explored by a medical practitioner. Many more couples, however, experience involuntary childlessness for at least one year: estimates range from 12% to 28%.[4] Male infertility is responsible for 20–30% of infertility cases, while 20–35% are due to female infertility, and 25–40% are due to combined problems in both parts.[2][5] In 10–20% of cases, no cause is found.[5] The most common cause of female infertility is ovulatory problems, which generally manifest themselves by sparse or absent menstrual periods.[6] Male infertility is most commonly due to deficiencies in the semen, and semen quality is used as a surrogate measure of male fecundity.[7] Women who are fertile experience a natural period of fertility before and during ovulation, and they are naturally infertile for the rest of the menstrual cycle. The Takeaway Around 15 to 20 percent of couples trying to conceive will have trouble with infertility. Government, the Department of Defense, or the Department of the Air Force.

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Normal motility is defined as more than 60% of sperm having normal movement, and the WHO 2010 lower reference limit (5th percentile) is 40%. Many health conditions can make it hard to get pregnant.

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The HSG is usually scheduled between days 6 and 13 of the cycle - after bleeding and before ovulation. Round Spermatid Injection. (PDF, 422 KB) Fertility and Sterility, 2000. It is often defined as not conceiving after 12 months of regular sexual intercourse without the use of birth control. This can result from: A medical condition: This could be a testicular infection, cancer, or surgery. 6 Accuracy may be improved by use on midday or evening urine specimens, which correlate better with the peak in serum luteinizing hormone levels. CO2 is used because it is common to the human body and can be absorbed by tissue and removed by the respiratory system.

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Laparoscopy for Cryptorchidism. (PDF, 1 MB) The Journal of Urology, 1980. Isolated FSH deficiency This is a very rare cause of infertility. If a woman has cycles at intervals of greater than 35 days, it may indicate that she is not ovulating an egg predictably, or even at all. Patients present with oligospermia but have LH levels within the reference range. Other causes include Y chromosome microdeletion, a depletion of chromosome material that impedes or severely decreases spermatozoa production. It has been proven useful in overcoming infertility conditions, such as blocked or damaged tubes, endometriosis, repeated IUI failure, unexplained infertility, poor ovarian reserve, poor or even nil sperm count. 8,37 Women in WHO group II, including those who are overweight and who have polycystic ovary syndrome, can benefit from weight loss, exercise, and lifestyle modifications to restore ovulatory cycles and achieve pregnancy. This includes injuries to the testicles, epididymides, prostate, or the urethra. Rarely, a blood clot may develop in an artery or vein, liver or kidney problems can arise, and respiratory distress may develop.