

Kang Jian Hua

About me
Studied Clinical Medicine at Jining Medical University from 2002 to 2005.
Proficient in diseases
Engaged in clinical medical and health services for more than 20 years. Specializes in the diagnosis and treatment of male and female reproductive system inflammations, endocrine disorders, sexual dysfunction, prenatal and postnatal care, infertility, reproductive health maintenance, contraception, and family planning.
Voices

Infertility is a condition.
Infertility refers to the condition where, after a couple has married and cohabited for more than a year, despite having regular sexual intercourse without any contraception, they are unable to conceive naturally. There are many factors that can cause infertility, including factors related to the male, the female, or both. Male factors account for about 40% of infertility cases, female factors account for about 50%, and combined factors account for about 10%. Female infertility includes ovarian infertility, fallopian tube infertility, uterine infertility, cervical infertility, vaginal infertility, immunological infertility, and more.

Can infertility be cured?
Infertility cannot be universally treated; it requires a specific analysis of each case. For instance, infertility caused by congenital factors, like congenital absence of testicles or uterus, is often difficult to treat. However, infertility resulting from acquired causes, such as sexual dysfunction, abnormal male semen, uterine fibroids, or ovarian cysts in females, can often be treated with medication, surgery, or assisted reproductive technologies like in-vitro fertilization, and in many cases can be cured.

Is soaking feet useful for infertility?
Whether soaking feet is beneficial for patients with infertility should be analyzed based on specific circumstances, rather than generalized. For patients with a cold uterus, soaking feet can increase blood circulation, relieve the coldness of the uterus, and facilitate the implantation of the embryo. However, the duration of soaking should not be too long, nor should the water be too hot, as this may affect the survival and development of the embryo. For patients who do not have a cold uterus, there is no need to soak their feet. It is advisable to consult a professional doctor about whether to soak feet or not. Ideally, consult a Traditional Chinese Medicine practitioner to diagnose your physical condition before deciding if you should soak your feet and for how long.

Can immunological infertility be treated?
Immunological infertility is treatable. There are several main methods for treating immunological infertility. The first method is the blocking therapy, which involves using condoms for 3-6 months to make the sperm antigen antibodies disappear, thereby increasing the conception rate through alternate day intercourse. Many women are able to conceive through this method. The second method is in vitro fertilization, which is chosen if there is a high density of antisperm antibodies in the woman's body, making in vitro fertilization necessary for conception. This method generally has a high success rate. The third method is intrauterine artificial insemination. When there are many antisperm antibodies in the woman’s cervical mucus, this method involves treating the male’s semen outside the body, selecting high-quality sperm for artificial insemination. The fourth method is immunosuppressive therapy, which primarily involves the use of corticosteroids. However, the use of these hormones often causes some adverse damage to the body.

How to treat infertility?
The treatment methods for infertility primarily include medication, surgical treatment, and assisted reproductive technologies. For couples with infertility, it is essential to adopt appropriate treatment methods based on different causes and conditions. Medication is a commonly used method, mainly targeting conditions such as oligospermia, asthenozoospermia, and reproductive tract infections in men, as well as menstrual disorders and reproductive tract infections in women. Surgical treatment mainly targets conditions such as varicocele and vas deferens obstruction in men, and uterine fibroids and polycystic ovary syndrome in women. Assisted reproductive technologies are mainly used for some patients who do not respond well to medication or surgery, such as men with idiopathic oligospermia and women with blocked fallopian tubes, requiring these technologies for treatment.

The difference between infertility and sterility
In clinical practice, we often mention infertility and sterility, so what is the difference between them? Let us take a look. Infertility refers to a condition where a couple has regular sexual intercourse, does not take any contraceptive measures, and the duration reaches over a year, yet the female cannot become pregnant; this is called infertility. If the male can cause the female to become pregnant, or has previously impregnated a woman, but she cannot carry a baby to term, we call this sterility. This is the difference between infertility and sterility.

How to cure immune infertility
Immune infertility comes in many forms, such as anti-sperm antibody positivity and anti-endometrial antibody positivity, among others. The treatment for immune infertility commonly involves the use of isolating therapy, which entails using a condom during sexual intercourse. After using this method for three to six months, it can reduce further stimulation of the female by the sperm antigen, and once the antibody effect has dissipated, intercourse is timed with ovulation. At this time, conception is often possible. For immune infertility, some may choose intrauterine artificial insemination depending on the situation, which involves processing and separating the husband's semen outside the body to extract high-quality sperm for intrauterine insemination. Another method is anti-immune therapy, but the medications often have adverse side effects on the body.

Infertility blood tests test for what?
Patients with infertility undergo numerous blood tests. Firstly, these tests can determine the blood types and general blood profiles of both partners. Secondly, the tests examine the sex hormones of both individuals to check for any endocrine abnormalities. Thirdly, they can detect infectious diseases, such as hepatitis B, syphilis, HIV, cytomegalovirus, toxoplasmosis, and herpes zoster. Lastly, the tests can assess the chromosomes of both partners to identify any genetic issues.

Can Chinese medicine be taken for infertility?
In our clinical work, many patients often have this doubt: Can infertility be treated with Chinese medicine? It can be clearly stated that many diseases can achieve better results through the adjustment with Chinese medicine, and infertility is no exception. However, everyone's basic situation is different, and Chinese medicine cannot guarantee the treatment of all infertility cases. There are many diseases that cause infertility, and many reasons stem from either the male or female partner. There are both functional diseases and organic causes, making it not a simple disease. Issues with either the male or female partner can lead to infertility. It is advised to visit a local reputable public hospital for a detailed examination to determine the cause and then receive targeted treatment, whether through traditional Chinese medicine, surgery, or assisted reproductive technology.

How is infertility caused?
Infertility can occur if there is an issue with either partner. The main factors causing infertility in women include ovulation disorders, fallopian tube factors, and abnormal endometrial receptivity. The primary factors causing infertility in men are abnormal spermatogenesis and ovulation disorders. Common etiological diagnoses generally include ovulation disorders, abnormal semen, fallopian tube abnormalities, unexplained infertility, endometriosis, and other immunological infertility. Additionally, cervical factors can also lead to infertility, such as cervical stenosis, which accounts for more than 5% of cervical factors.