infertility…

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pelvic laparoscopy, female reproductive anatomy, male reproductive anatomy, primary infertility, sperm, barren, inability to conceive, unable to get pregnant, infertility, inability to achieve a pregnancy after 12 months of unprotected intercourse, primary infertility, term, describe a couple that has never been able to conceive a pregnancy, after at least 1 year of unprotected intercourse, term secondary infertility describes couples, previously been pregnant at least once, able to achieve another pregnancy, infertility, wide range of physical, emotional factors, 30% to 40% of all infertility, due to a "male" factor, retrograde ejaculation, impotence, hormone deficiency, environmental pollutants, scarring from sexually transmitted disease, decreased sperm count, factors affecting sperm count, heavy marijuana use, use of prescription drugs cimetidine, spironolactone, nitrofurantoin, a "female" factor, scarring from sexually transmitted disease, endometriosis, ovulation dysfunction, poor nutrition, hormone imbalance, ovarian cysts, pelvic infection, tumor, transport system abnormality, cervix, the fallopian tubes, 40% to 50% of infertility in couples, remaining 10% to 30%, contributing factors from both partners, by no cause, estimated that 10% to 20% of couples, unable to conceive after 1 year of attempting to, become pregnant, important that pregnancy be, an extended period, at least 1 year, chances, pregnancy occurring in healthy couples who, under the age of 30, having intercourse regularly is only 25% to 30% per month, a woman's peak fertility occurs in her early 20s, a woman ages beyond 35, particularly after age 40, likelihood of conceiving diminishes to less than 10% per month, age-related factors, increased risk, infertility is associated, having, multiple sexual partners, increasing the risk, stds, a sexually transmitted disease, a past history of pid, pelvic inflammatory disease, after a single episode, 10% to15% of women, become infertile, a past history of orchitis, epididymitis in men, mumps, men, a varicocele, men, a past medical history that includes des exposure, men, women, eating disorders, women, anovulatory menstrual cycles, endometriosis, abnormalities, the uterus, myomas, cervical obstruction, a chronic disease diabetes, inability to, become pregnant, a range of emotional reactions by either, members, the couple, such reactions, greater among childless couples, having at least one child tends to soften these painful emotions, a complete history, physical examination of both partners is essential, semen analysis, the specimen is collected after 2 to 3 days of complete abstinence, volume, viscosity of semen, sperm count, motility, swimming speed, measuring basal body temperature, taking the woman's temperature each morning, arising in an effort to note the 0.4 to 1.0 degree fahrenheit temperature increase associated, ovulation, monitoring cervical mucus changes throughout the menstrual cycle to note the wet, stretchy, slippery mucus associated, the ovulatory phase, postcoital testing, pct, to evaluate sperm-cervical mucus interaction, analysis of cervical mucus collected 2 to 8 hours, couple has intercourse, measuring serum progesterone, a blood test, biopsying the woman's uterine lining, endometrium, biopsying the man's testicles, rarely done, measuring the amount, luteinizing hormone in urine, home-use kits to predict ovulation, assist, timing of intercourse, progestin challenge, the woman has sporadic, absent ovulation, serum hormonal levels, blood tests, partners, hysterosalpingography, hsg, an x-ray procedure done, contrast dye that looks, route of sperm, cervix, the uterus, fallopian tubes, laparoscopy, direct visualization, the pelvic cavity, pelvic exam, the woman, cysts, treatment depends on the cause of infertility, given couple, range from simple education, counseling, use of medications that treat infections, promote ovulation, to highly sophisticated medical procedures in vitro fertilization, the couple to recognize, discuss the emotional impact that infertility has on them, individuals, together, seek medical advice from health care provider, new treatments, announced, couples, either experience new hope, have to deal, old wounds reopened, support groups, infertile couples an important source of strength, comfort, resolve, a national organization, provides both informal support, serves, a referral base, professional counseling specific to infertility issues, infertility, support group, a probable cause, determined, 85% to 90% of infertile couples, appropriate therapy, advanced techniques, in vitro fertilization, allows pregnancy to occur in 50% to 60% of previously infertile couples, treatment intervention, 15% to 20% of couples previously diagnosed, infertile, eventually, become pregnant, infertility, does not cause physical illness, psychological impact of infertility upon individuals, couples, it severe, couples, encounter marital problems, individual depression, anxiety, unable to achieve a desired pregnancy, infertility is frequently, sexually transmitted diseases, practicing safer sex behaviors, minimize the risk of future infertility, gonorrhea, chlamydia, the two most frequent causes, std-related infertility, stds, asymptomatic at, pid, salpingitis develops, inflammatory processes cause scarring, the fallopian tubes, decreased fertility, absolute infertility, an increased incidence of ectopic pregnancy, mumps immunization has been well demonstrated, prevent mumps, its male complication, orchitis, immunization prevents mumps-related sterility, forms of birth control, intrauterine device, iud, carry a higher risk, future infertility, iuds, not recommended, women, not previously had a child, women selecting the iud must be willing to accept the very slight risk of infertility associated, its use, careful consideration of this risk, weighed, the potential benefits, reviewed, discussed, partners, health care provider.