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 Concern
 Treatment
 Pregnancy
 Experiences

Concern

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Understanding Fertility
Fertility in Women
In women, fertility means the ability to become
pregnant and have a baby. A woman's reproductive years begin when
she starts her menstrual cycles during puberty (about age 13). The
ability to have a child usually ends around age 45, though it's
potentially possible for a woman to get pregnant until her periods
end with menopause (about age 51).
When a baby girl is born, she already has in her body about 400,000
immature eggs (oocytes). These are stored in her ovaries in tiny
fluid-filled sacs called follicles. Once she enters her
reproductive years, she starts having monthly menstrual cycles.
During each cycle, the ovary releases one egg (or, less commonly,
more than one), which may go on to join with a man's sperm cell and
begin a pregnancy.
The development and release of the egg depend on a delicate balance
of hormones: chemicals that signal the body's organs to do
particular jobs. Some of these hormones are produced in the
ovaries. Others come from two glands in the brain, the hypothalamus
and the pituitary.
Fertility in Men
In men, fertility means the ability to make a woman pregnant. To do
this, the man's reproductive system needs to produce and store
sperm. It also needs to transport sperm outside of his body, so it
can enter the woman's reproductive tract.
The organs that produce sperm are called the testes. Normally a man
has two testes, located in the scrotum, the pouch of skin that
hangs behind the penis. Each one is called a testis (or sometimes a
testicle). Inside each testis are many tiny organs called the
seminiferous tubules. This is where sperm develop.
Unlike a woman, who is born with all the eggs she will have in her
life, a man makes new sperm continually. Once a man passes through
puberty, his stock of sperm is refreshed about every 72 days.
Infertility is the diminished or absent capacity to produce
offspring. The term does not imply the complete inability to have
children, and should not be confused with sterility. Clinicians
have introduced temporal and physical elements to the definition of
infertility. Infertility is thus often diagnosed when 1 year of
unprotected intercourse has passed without conception.
The Language of Fertility
- Fertilisation: contact
between sperm and ovum, leading to their union.
- Conception: the onset of
pregnancy.
- Pregnancy: the condition of
having a developing embryo or foetus in the female reproductive
tract after union of an ovum and
sperm.
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