and painful condition where cells similar to found on the ovaries it can cause cysts called endometrioma affected by secondary smoke while smoking affects men to lesser testosterone levels that may affect sperm production can cause low self-esteem leading to less frequency of intercourse can lead to lower conception rates investigation and treatment - what to expect "the aim of the fertility specialist is to identify the possible causes that may contribute to the inability to fall pregnant," comments dr coetsee important causes of primary and secondary infertility is endometriosis the treatment of endometriosis should also be taken into consideration laparoscopic procedures should be before undergoing a repeat procedure for endometriosis it is advisable to seek the opinion of a fertility specialist to remove ovarian endometriosis can potentially destroy the ovarian test can be done to test the ovarian secondary infertility due to a very low ovarian reserve may only be able to have a baby through egg donation." due to a pelvic infection or previous appendectomy approximately 30% of cases benign growths that can interfere with conception as well as maintaining the from d&c after miscarriage couple should wait before seeking months - but only if there are no known case immediate referral to fertility specialists is recommended." be reduced by both overweight and tend to have less testosterone which can affect sperm production production problems could be caused supplements this may include • a detailed history • gynaecological examination • transvaginal ultrasound • hormonal and other blood tests • testing the patency of the tubes • semen analysis next a decision will be made if further investigations like laparoscopy and hysteroscopy are indicated in order to allow the fertility specialist to look health and lifestyle on fertility as it accelerates the rate of questions to ask the fertility specialist • do i ovulate? • do i have enough eggs left? • are my tubes open? • is the sperm normal?
