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Infections Pelvic Inflammatory Disease can result in infections to the reproductive organs, particularly the Fallopian tubes which may cause fertility problems. Such infections can be sexually transmitted, or result from use of an IUD (intra-uterine device). Interference with the normal environment of the vagina may result from the use of douches, vaginal deodorants and lubricative jellies. These also contain chemicals which may be harmful to sperm. An unpleasant odour, itching, soreness and burning when urinating indicate such an infection. Persistent back pain often follows as pelvic inflammatory disease becomes established. However, sometimes an infection may not be accompanied by symptoms. Early detection and treatment is vital for fertility, therefore if any abnormality is suspected referral to a doctor for appropriate investigation should be undertaken. Endometriosis Endometriosis is the growth of the endometrial tissue on the tubes, ovaries, urinary or intestinal organs. The symptoms vary, but women troubled by painful menstrual cramps or uncomfortable intercourse and prolonged menstrual bleeding should seek medical advice. If endometriosis is identified as the cause of infertility, treatment in the form of surgery or hormonal therapy, may help. Smoking, Alcohol and Caffeine Consumption A consistent and highly significant trend of decreasing fertility in women with an increasing number of cigarettes smoked per day has been reported. In addition excessive consumption of alcoholic and/or caffeinated drinks has been implicated with difficulty conceiving. (Fertility and Sterility, 70, 1998) Smoking and the Pill have both been implicated in the development of cancer of the cervix. More research is needed to clarify cervical damage in infertility due to smoking and contraceptive medication. (American Journal of Epidemiology, 31, 1991)
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Infections