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Diabetes mellitus DM, commonly known as diabetes, is a group of metabolic disorders characterized by a high blood sugar level over a prolonged period of time. Diabetes is due to either the pancreas not producing enough insulin, or the cells of the body not responding properly to the insulin produced. Type 1 diabetes must be managed with insulin injections. The classic symptoms of untreated diabetes are unintended weight loss, polyuria increased urination, polydipsia increased thirst, and polyphagia increased hunger. Several other signs and symptoms can mark the onset of diabetes although they are not specific to the disease.

Polycystic ovary syndrome PCOS is a health problem that affects 1 in 10 women of childbearing age. Women with PCOS have a hormonal imbalance and metabolism problems that may affect their overall health and appearance. PCOS is also a common and treatable cause of infertility. Polycystic ovary syndrome PCOS, also known as polycystic ovarian syndrome, is a common health problem caused by an imbalance of reproductive hormones. The hormonal imbalance creates problems in the ovaries. The ovaries make the egg that is released each month as part of a healthy menstrual cycle.

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In the case of female infertility, one of the first things we look at is a patient's age -- in particular, the age of her ovarian reserve or, put simply, her egg supply. An increasing number of women are choosing to have their first child in their mids or later. The challenge for this age group is that with the body's natural aging process, a woman's eggs age as well; and this phenomenon is a significant cause of infertility and miscarriage. Getting pregnant after age 40 is a challenge for women that may have no other impediment to conception. The decline in fertility potential or 'ovarian reserve' means that not only do the ovaries have fewer eggs to offer, but the eggs they have are of poorer quality, and thus have a harder time producing eggs that are capable of fertilizing and resulting in a healthy pregnancy. For many years, researchers wondered whether the uterus was also affected by the aging process, but today it is clear that decline in fertility is mostly due to the results of the aging egg.

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