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The diagnostic charts, which may be photocopied, provide an unambiguous route to diagnosis of the underlying cause of infertility, whilst the text fully explains and describes the essential clinical tests. It can also help if a man has severe erectile dysfunction. Showell MG, Brown J, Yazdani A, Stankiewicz MT, Hart RJ.

Endometrial polyps Endometrial polyps are growths found in the uterine cavity. The dynamics of stress in fertile and infertile couples. Advising surgery in cases of primary infertility is difficult. Each country has its own body or bodies responsible for the inspection and licensing of fertility treatment under the EU Tissues and Cells directive [78] Regulatory bodies are also found in Canada [79] and in the state of Victoria in Australia [80] See also[edit] [edit] Inhorn MC (2003). "Global infertility and the globalization of new reproductive technologies: illustrations from Egypt". Infertility is defined as the inability to become pregnant after 12 months of regular, unprotected intercourse. The effect of age upon men's fertility is less clear.[citation needed] In people going forward for IVF in the UK, roughly half of fertility problems with a diagnosed cause are due to problems with the man, and about half due to problems with the woman.

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A high serum estradiol level (greater than 60 to 80 pg per mL [220 to 294 pmol per L]) in conjunction with a normal FSH level has also been associated with lower pregnancy rates. At the same time, the number of pregnancy losses and malformations in the foetus increase.

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Pregnancy with Sperm Aspiration from the Proximal Head of the Epididymis: A New Treatment for Congenital Absence of the Vas Deferens. (PDF, 2 MB) Fertility and Sterility, 1988. High Fertilization and Pregnancy Rate after Intracytoplasmic Sperm Injection with Spermatozoa Obtained from Testicle Biopsy. (PDF, 3 MB) Human Reproduction, 1995.

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One-third of couples will discover fertility problems in only the woman. The following problems are possible: Low sperm count: The man ejaculates a low number of sperm. Women older than 35 years or couples with known risk factors for infertility may warrant evaluation at six months. Couples who do not conceive after treatment for six cycles with documented ovulation should also consider referral to an infertility specialist. For patients with a history of endometriosis, pelvic infections, or ectopic pregnancy, evaluation with hysteroscopy or laparoscopy is recommended. Abnormal semen may not be able to carry the sperm effectively. It's sometimes done while you're taking meds that help trigger the release of an egg. After ruling out female infertility concerns, tests for male infertility may be needed. Gracia CR, Sammel MD, Coutifaris C, Guzick DS, Barnhart KT.