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Infertility means a couple is not able to become pregnant after 1 year of having regular, unprotected sex. Infertility affects both women and men. A woman is considered infertile if she has tried for 1 year to get pregnant and hasn’t used birth control. A man is considered infertile if he has too few sperm or his sperm are too unhealthy to combine with a woman’s egg. Many couples do not have trouble becoming pregnant. But there are factors that can make it difficult for some.

Making a baby (getting pregnant) is complex. Multiple things have to go right for both the man and the woman. Therefore, there are many causes of infertility in women and men.

For both men and women, your doctor will conduct a routine medical exam. He or she will ask you questions about your general health and how long you have been trying to have a baby. Your doctor will decide what additional testing is necessary.

Additional testing would likely begin with blood tests. These will check hormone levels and genetics (for both men and women) and egg quality. Women may have additional tests.

Some causes of infertility can’t be prevented or avoided. But both men and women can take steps to increase their chances of pregnancy.

Infertility treatment is based on the cause of your infertility. It can range from medicines to implanting an embryo through assisted reproductive technology (ART).

For men, issues that affect fertility can include hormone imbalances or erectile dysfunction. These issues can be treated with medicine. Other issues could include blockages in the tubes that carry sperm or varicoceles in the testicles. These can be repaired with surgery.

For women, treatment can also include medicine or surgery, depending on the underlying problem. The most common medicines used to treat female infertility stimulate the ovaries. This helps the ovaries produce more eggs and increases the chances of getting pregnant. Surgery can be done if there are blockages or problems with the fallopian tubes. It also is used to remove areas of endometriosis (when uterine tissue grows outside the uterus), fibroids, polyps, or scarring, which all can affect fertility.

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