Infertility

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Written by Kang Jian Hua
Reproductive Center
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Can infertility be inherited?

Regarding the question of whether infertility is hereditary, we cannot generalize. We should analyze specific situations individually. For infertility caused by chromosomal or genetic abnormalities, it may be inherited by offspring. In such cases, one should choose targeted treatments under the guidance of a specialist. However, infertility due to non-genetic factors can often be cured through proactive treatment. Usually, the female can conceive and the condition will not be passed on to the offspring. For better treatment and diagnosis, it is recommended to visit a reputable public hospital locally to get a clear diagnosis and treatment, which can save both time and money.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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Can infertility have menstruation?

There are many causes of infertility. Normally, if a couple has been married for a year without using contraception and does not have a child, they are generally diagnosed with infertility. Infertility patients can develop from causes such as hormonal imbalances, which might lead to menstrual disorders and lack of normal ovulation, resulting in infertility. Infections like mycoplasma and chlamydia can also cause infertility, as can immune issues, abnormal ovulation, or problems with the fallopian tubes. However, infertility does not necessarily mean an absence of menstruation. Some patients may have normal menstrual cycles and ovulation. The reason for infertility in such cases might be due to blocked fallopian tubes or other hormonal issues. Therefore, whether an infertility patient has menstruation can vary; some may have a normal menstrual cycle, while others may not.

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Written by Gan Hai Ying
Obstetrics and Gynecology
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Why does premature ovarian failure cause infertility?

The primary reason that premature ovarian failure leads to infertility is due to the decline in ovarian function it causes. Reduced ovarian function results in insufficient secretion of estrogen levels within the body. Consequently, the follicles on the ovaries do not develop and mature, and without mature egg cells, the sperm and egg cannot meet, which leads to infertility. Additionally, women with premature ovarian failure experience low hormone levels that prevent changes in the uterine lining, making it unsuitable for a fertilized egg to implant in the uterine cavity, which also causes infertility. Premature ovarian failure in women often leads to infertility. Therefore, it is difficult for women with this condition to conceive. If childbearing is desired, after treatment to regulate menstruation, it may be necessary to use assisted reproductive technologies such as in vitro fertilization to achieve pregnancy.

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Written by Zhao Min Ying
Reproductive Medicine
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Can sexual apathy cause infertility?

Sexual indifference is a matter concerning the harmony of sexual life between couples, the stability of their relationship, and the quality of life. Regarding fertility, as long as the couple can have sexual intercourse, the male can ejaculate, and the semen can be deposited into the female reproductive tract, there is a chance of pregnancy. Therefore, from this perspective, mere sexual indifference, as long as intercourse can be completed, does not affect conception. However, if sexual indifference prevents intercourse, then it does affect the possibility of pregnancy. Therefore, ultrasound monitoring of ovulation and guiding intercourse during the ovulation period can increase the chances of pregnancy. When necessary, artificial insemination can also be considered to aid conception.

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Written by Zou Fu Hua
Obstetrics and Gynecology
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How is female infertility investigated?

There are many tests to be done for female infertility. For example, during menstruation, a fasting blood test can be done to check for six sex hormones, including follicle-stimulating hormone, luteinizing hormone, prolactin, estrogen, testosterone, and progesterone. Between days 3-7 after menstruation ends, a fallopian tube hydrotubation and imaging can be performed, but intercourse must be avoided and there should be no gynecological inflammation to proceed with this examination. Additionally, routine vaginal secretion and mycoplasma infection tests can be conducted to check for any related issues. Moreover, around the tenth day of the menstrual cycle, a follicle monitoring ultrasound can be done to observe if there are dominant follicles and whether ovulation occurs. The male partner should also undergo some related tests. In summary, different tests can be conducted at different times for female infertility.

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Written by Zhang Chun Yun
Obstetrics and Gynecology
1min 43sec home-news-image

Can infertility caused by endometriosis be cured?

When endometrial glandular and stromal tissues are found outside the uterine cavity, it is called endometriosis. The main clinical symptoms of endometriosis include lower abdominal pain, painful menstruation, and varying degrees of discomfort during sexual intercourse. Some women may also experience abnormal menstruation, such as prolonged menstrual periods, increased menstrual flow, and spotting before menstruation. For women of childbearing age, infertility is the greatest obstacle. Endometriosis should be treated under medical advice, with standardized and correct treatments, which can include surgery or medication. However, medication does not significantly help in improving pregnancy rates for infertile women, while surgical treatment can increase the pregnancy rate post-operation. The effectiveness of the treatment depends on the extent of the disease. For those hoping to conceive, postoperative medication is not advisable; instead, treatments that stimulate ovulation should be pursued to increase the chances of pregnancy as soon as possible. If pregnancy is not achieved within two years after surgery, the chances of conceiving are slim. For those who still cannot conceive after preserving fertility through surgery, assisted reproductive technologies like in vitro fertilization and embryo transfer may be considered. It is important to follow your doctor's advice, and if you have further questions, it is recommended to consult a doctor at a hospital for more detailed advice.

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Written by Kang Jian Hua
Reproductive Center
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What is infertility?

Infertility refers to the condition where, despite a couple having regular sexual intercourse without contraception for more than a year, the woman does not become pregnant, at which point infertility is diagnosed. Infertility includes primary infertility and secondary infertility. Primary infertility refers to those who have never been pregnant before; secondary infertility refers to individuals who have previously given birth or been pregnant but later, despite trying to conceive for over a year without contraception and having regular sexual intercourse, are unable to become pregnant.

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Written by Kang Jian Hua
Reproductive Center
1min 4sec home-news-image

"What does infertility OC mean?"

Infertility OC refers to the ovarian stimulation protocols for in vitro fertilization (IVF), commonly divided into long and short protocols. Ovarian stimulation in IVF is done to obtain more eggs for better results. The choice between protocols is not determined by time, but by assessing the patient’s ovarian function. Patients with good ovarian function use the long protocol, while those with poor ovarian function use the short protocol. Although the long protocol takes more time, it provides better ovulation results and a more consistent ovarian response, preventing premature ovulation. The short protocol, although quicker, often has less effective stimulation results and an inconsistent ovarian response, which frequently leads to premature ovulation. Thus, the long protocol is the standard for ovarian stimulation, while the short protocol is a contingency plan used when there is concern that poor ovarian function might prevent follicle development with the long protocol.

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Written by Kang Jian Hua
Reproductive Center
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Infertility means.

The concept of infertility in medicine is defined as follows: both male and female partners have normal sexual relations without using any contraceptives, and if the female cannot become pregnant after a year, this condition is diagnosed as infertility. Previously, the time frame for diagnosing infertility was set at two years. However, due to the implementation of the two-child policy, the average age of both men and women tends to be higher, so it is generally limited to one year. If there is no pregnancy within this period, it is urgent to go to the hospital for diagnosis and treatment in order to identify the cause early and treat it accordingly, to avoid delaying the condition.

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Written by Kang Jian Hua
Reproductive Center
41sec home-news-image

Can infertile people get married?

On a voluntary basis, infertile patients who do not have legally specified diseases that impede or postpone marriage can marry. However, marriage is unsuitable in cases such as severe mental illnesses, including schizophrenia and bipolar disorder, severe intellectual disabilities such as dementia, and during an active phase of certain communicable diseases. This includes untreated syphilis, gonorrhea, AIDS, Hepatitis A, open tuberculosis, leprosy, and others. These diseases may potentially harm the other party, and in such cases, one should not marry or should postpone marriage.