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The use of CC is contraindicated in cases of ovarian cyst, pregnancy, and liver disease. Passive smoking has also been linked to lower fertility. Infertility rates have increased by 4% since the 1980s, mostly from problems with fecundity due to an increase in age.[72] Fertility problems affect one in seven couples in the UK. WHO Manual for the Standardized Investigation and Diagnosis of the Infertile Couple. 3,4  Infertility may arise from male factors, female factors, or a combination of these (Table 15–8).

The severity usually depends on how near to the testicles the radiation was aimed. The testicles will be checked for lumps or deformities, and the shape and structure of the penis will be examined for abnormalities. Infection and Disease: Mumps, tuberculosis, brucellosis, gonorrhea, typhoid, influenza, smallpox, and syphilis can cause testicular atrophy.  A low sperm count and low sperm motility are indicators of this condition.  Also, elevated FSH levels and other hormonal problems are indicative of testicular damage.  Some STDs like gonorrhea and chlamydia can cause infertility by blocking the epididimis or tubes.  These conditions are usually treated by hormonal replacement therapy and surgery in the case of tubular blockage. Treatment Possibilities: Female Infertility Depending on the cause of infertility, there are different possibilities for treatment. This can reveal signs of endometriosis, scarring, blockages, and some irregularities of the uterus and fallopian tubes. Clean, Intermittent Self-catheterization in the Treatment of Urinary Tract Disease. (PDF, 2 MB) The Journal of Urology, 1972.

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Effect of male age on fertility: evidence for the decline in male fertility with increasing age. Clinical examinations start with ovarian causes of sterility.

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In patients with varicocele, there is insufficient evidence to suggest corrective surgery will increase live birth rates, despite improvement in semen analysis results. Pregnancy after Vasovasostomy for Vasectomy Reversal: A Study of Factors Followed for 10 Years. (PDF, 3 MB)Human Reproduction, 1989. Listen to Professor Cheong talk about the fertility investigations we offer       Repeated pregnancy loss Some people may not have difficulty conceiving, but have suffered from miscarriages.

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Some causes, such as hyperprolactinemia, are reversible with proper treatment. Hereditary causes: due to chromosome or genetic abnormalities. 4 pmol/l for a low response and greater than or equal to 25. If a deficit of greater than 1 L is recorded, the procedure should be terminated, and, preferably, the myomectomy should be completed in a second hysteroscopic attempt. Normal sperm have a smooth oval head approximately 3-5 μm long and 2-3 μm wide. Postcoital testing and antisperm antibody testing are no longer considered useful in this evaluation. Consequently, the patient with PCOS becomes responsive to CC ovulation induction. 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. 389 KB ARTICLES FROM THE 1980s Microsurgical Reversal of Female Sterilization: The Role of Tubal Length. (PDF, 2 MB) Fertility and Sterility, 1980. 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.