Because infertility is frequently caused by sexually transmitted diseases, practicing safer sex behaviors may minimize the risk of future infertility. Gonorrhea and chlamydia are the two most frequent causes of STD-related infertility. These diseases are often initially asymptomatic until PID or salpingitis develops. These inflammatory processes cause scarring of the fallopian tubes and subsequent decreased fertility, absolute infertility, or an increased incidence of ectopic pregnancy . Mumps immunization has been well demonstrated to prevent mumps and its male complication orchitis .
Immunization prevents mumps-related sterility.
However, IUDs are not recommended for women who have not previously had a child. Women selecting the IUD must be willing to accept the very slight risk of infertility associated with its use. Careful consideration of this risk, weighed with the potential benefits, should all be reviewed and discussed with both partners and the health care provider. Symptoms inability to become pregnant a range of emotional reactions by either or both members of the couple related to childlessness. Signs and tests A complete history and physical examination of both partners is essential.