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The FAST study: fertility assessment and advice targeting lifestyle choices and behaviours: a pilot study. Secondary infertility When a woman is unable to bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth following either a previous pregnancy or a previous ability to carry a pregnancy to a live birth, she would be classified as having secondary infertility. A woman of reproductive age who is using artificial insemination to conceive (with either partner or donor sperm) after 6 failed trials. ď‚—Consider earlier referral to infertility specialists where: - the woman is aged 36 years or over. - there is a known clinical cause of infertility or a history of predisposing factors for infertility. - treatment is planned that may result in infertility (such as treatment for cancer). - People who are concerned about their fertility and who are known to have chronic viral infections such as hepatitis B, hepatitis C or HIV.

Clark AM, Thornley B, Tomlinson L, Galletley C, Norman RJ. A Modern Approach to Male Infertility. (PDF, 2 MB) Serono Symposia, Insights Into Infertility Newsletter, 1997. Practice Committee of the American Society for Reproductive Medicine in collaboration with the Society for Reproductive Endocrinology and Infertility. (2008). Unexplained Even after a full fertility work-up, for one in five couples an exact cause of infertility cannot be determined. Couples who do not conceive after treatment for six cycles with documented ovulation should also consider referral to an infertility specialist.

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A variety of hormonal imbalances can affect a man's fertility. Human menopausal gonadotropin, or hMG (Repronex): This contains both FSH and LH. But painful periods that interfere with your daily life may be a symptom of endometriosis. The test is rated positively when motile sperm can be proved in the mucus. A relationship also exists between obesity and erectile dysfunction (ED).

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Hjollund NH, Storgaard L, Ernst E, Bonde JP, Olsen J. In most cases, surgery can be performed to either reverse these blockage or to retrieve sperm directly from the epididymis and testicles. Ideally, patients respond to replacement with exogenous GnRH or HCG, an LH analogue, although this does not always occur. The procedure is done during the premenstrual phase, approximately 12 days after presumed ovulation to see if the endometrium undergoes expected changes. Microsurgery for the Undescended Testicle. (PDF, 5 MB) Urologic Clinics of North America, 1982.

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Clinical Characterization of 42 Oligospermic or Azoospermic Men with Microdeletion of the AZFc Region of the Y Chromosome, and of 18 Children Conceived via ICSI. (PDF, 606 KB) Human Reproduction, 2002. ART techniques generally start with stimulating the ovaries to increase egg production. The quality and quantity of eggs begin to decline by the early 30s and drop even further as a woman approaches the age of 40. Ideally, patients respond to replacement with exogenous GnRH or HCG, an LH analogue, although this does not always occur. The opening improves the ability of the embryo to implant into the uterine lining. Mumps: If this occurs after puberty, inflammation of the testicles may affect sperm production. It involves: A vagina capable of receiving sperm. Surgical procedures for women If the fallopian tubes are blocked or scarred, surgical repair may make it easier for eggs to pass through. They can also carry out some basic tests on both partners to see if there is an identifiable reason for not having achieved a pregnancy.


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