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H E A L T H Y   L I V I N G   R E S O U R C E S

Infertility Information
(from the Mayo Clinic)

Primary infertility is the term used to describe a couple that has never been able to conceive a pregnancy, after a minimum of 1 year of attempting to do so through unprotected intercourse. Secondary infertility is the term used to describe couples who have previously been pregnant at least once, but have not been able to achieve another pregnancy.

Causes of infertility include a wide range of physical as well as emotional factors. Approximately 30% to 40% of all infertility is due to a "male" factor, such as retrograde ejaculation, impotence, hormone deficiency, environmental pollutants, scarring from sexually transmitted disease, or decreased sperm count. Some factors affecting sperm count are heavy marijuana use or prescription drugs such as cimetidine, spironolactone, and nitrofurantoin.

A "female" factor (for example, scarring from sexually transmitted disease or endometriosis, ovulation dysfunction, poor nutrition, hormone imbalance, ovarian cysts, pelvic infection, or tumor, or transport system abnormality from the cervix through the fallopian tubes) is responsible for 40% to 50% of infertility in couples. The remaining 10% to 30% may be caused by contributing factors in both partners, or no cause can be adequately identified.

Increased risk for infertility is associated with having:

  • eating disorders (women)
  • abnormalities of the uterus (myomas) or cervical obstruction
  • multiple sexual partners (therefore increasing the risk for STDs)
  • a sexually transmitted disease
  • a past history of PID (pelvic inflammatory disease) (after a single episode, 10% to15% of women may become infertile)
  • a past history of orchitis or epididymitis ( men)
  • mumps (men)
  • a varicocele (men)
  • a past medical history that includes DES exposure (men or women)
  • anovulatory menstrual cycles
  • endometriosis
  • a chronic disease (such as diabetes)

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