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Infertility
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.
Is secondary infertility easy to treat?
If it is infertility, treatment is relatively difficult and generally not easy. First, for secondary infertility, it depends on the cause. If it's due to fallopian tube blockage, the extent of the blockage needs to be considered. If it is because the ovaries do not ovulate, then it is necessary to go to the hospital for endocrine testing. Treatment should be based on the results of the endocrine tests, and only when hormone levels are normal will there be normal ovulation and clear fallopian tubes. Without problems related to immunity, it is possible to properly prepare for pregnancy. Therefore, if it is secondary infertility, it is essential to go to the hospital for infertility-related examinations to identify any abnormalities and treat them accordingly. Both primary and secondary infertility are difficult to treat.
Does abortion pills cause infertility?
In clinical practice, there are many types of abortion drugs. Their primary purpose is to kill the embryo or fetus and then promote uterine contractions to expel the fetus from the uterus. From the perspective of the drugs alone, abortion drugs do not cause infertility because the drugs are metabolized quickly. However, if abortions are performed repeatedly multiple times, this may potentially lead to infertility. The cause of infertility in such cases is not related to the drugs but due to the repeated abortions, which could affect the woman's endometrium, cervix, and fallopian tubes. Therefore, it is advisable for women to minimize unnecessary abortions to reduce the risk of infertility caused by the abortions.
Can a ruptured corpus luteum lead to infertility?
The destruction of corpus luteum cells can lead to infertility. The most common issue is the obvious rupture of the corpus luteum, accompanied by excessive pelvic fluid, which requires surgical treatment. Post-surgery, there could be pelvic adhesion, leading to partial fallopian tube adhesion, which may result in blockages or obstructions in the fallopian tubes. Therefore, during pregnancy, an ectopic pregnancy may occur, and even infertility, particularly in some women who do not seek timely medical treatment after a corpus luteum rupture. This leads to the spread of pelvic inflammatory disease, which may even develop into chronic pelvic inflammatory disease. It is essential to be cautious and avoid vigorous physical activities to prevent the dangerous rupture of the corpus luteum.
Can chronic bacterial vaginitis lead to infertility?
Long-term bacterial vaginitis can lead to infertility. If bacterial vaginitis occurs, a large number of bacteria proliferate in the vagina. When sperm enter, they may quickly die off. Even if they do not die, their quality is greatly reduced. Vaginitis results in a significant increase in vaginal discharge. The secretions contain a large number of white blood cells, which can hinder the survival of sperm, thus potentially causing infertility. Therefore, women must pay attention to personal hygiene. Once the inflammation of bacterial vaginitis becomes severe, it can spread to the uterine cavity and cause more serious diseases such as adnexitis and pelvic inflammatory disease. If not treated promptly, these can lead to infertility. It is important to develop good hygiene habits regularly.
What to check for infertility
What tests should be done for infertility? The tests for males are much simpler compared to those for females, primarily focusing on semen analysis as well as prostate and ultrasound examinations. For females, besides examining the development of the internal and external genitalia, checking for inflammation and inflammatory masses, and assessing breast lactation, several specialized tests can also be conducted. These include evaluating the patency of the fallopian tubes by hysterosalpingography, ovarian function tests including basal body temperature (BBT) measurements, vaginal cytology, endometrial examination, and female hormone assessments. Immunological tests include checking for anti-endometrial, anti-ovarian, anti-trophoblast, and anti-sperm antibodies, among others. Ultrasound examinations help in detecting pelvic tumors and uterine conditions, and also in monitoring follicle development and ovulation. Other tests include hysteroscopy, laparoscopy, and an analysis of chromosomal abnormalities in the couple.
Is infertility immunotherapy effective?
Infertility immunotherapy is effective, first looking at the cause of infertility. If infertility arises due to immune dysfunction, immunotherapy can be employed for targeted treatment at that time. If it is caused by fallopian tube blockage, tubal hydrotubation can be performed, followed by further fallopian tube treatment. Furthermore, if infertility is caused by anovulation of the ovaries, initially monitor the follicles via ultrasound. If indeed the follicles are not ovulating, medication can be used to stimulate ovulation. If infertility is caused by endocrine disorders, it is essential to regulate the endocrine system accordingly. Therefore, whether infertility immunotherapy is useful depends on the cause. If infertility occurs due to immune dysfunction, immunotherapy can be effective. If infertility is caused by other reasons, immunotherapy will be ineffective, hence it is crucial to evaluate the situation accordingly.
Which department should I go to for infertility treatment?
For infertility issues, one should first visit a formal hospital. At the hospital, men can choose to see either a traditional Chinese medicine andrologist or a Western medicine andrologist, while women can opt to visit a traditional Chinese medicine infertility specialist, or a gynecology or obstetrics department. After consulting these departments, doctors will conduct various tests to identify and rule out causes of infertility. Then, based on the test results, they will administer targeted treatments or interventions. This approach helps infertility patients to conceive as soon as possible.
Why does endometriosis cause infertility?
Endometriosis is a common cause of infertility. The reasons endometriosis leads to infertility mainly include the following aspects: First, if endometriosis occurs above the ovaries, this condition is referred to as ovarian chocolate cysts. This disease can cause ovarian ovulation disorders. Second, endometriosis easily leads to pelvic adhesions, which can affect the function of the fallopian tubes, making it difficult for the fimbrial end of the tubes to capture eggs. Endometriosis is very common among women with infertility; therefore, a thorough examination is essential when screening for causes of infertility. If endometriosis is present, surgical or medical treatment should be chosen to improve the symptoms of endometriosis as much as possible and alleviate the causes of infertility.
Can acute salpingitis cause infertility?
If there is inflammation in the fallopian tubes, it can potentially lead to infertility. Inflammation causes the fallopian tubes to thicken, affecting their function. Firstly, the function of the fimbrial end of the fallopian tube is impacted, which affects the tube's ability to capture eggs. Secondly, the inflammation can affect the union of sperm and egg within the fallopian tube, making fertilization difficult. Moreover, inflammation of the fallopian tubes can also increase the likelihood of an ectopic pregnancy. This happens because when the fallopian tubes are inflamed, their ability to transport the fertilized egg to the uterus is impaired, leading to ectopic pregnancies. Therefore, it is crucial for women with fallopian tube inflammation to undergo adequate anti-inflammatory treatment before trying to conceive. Commonly used medications include cephalosporins and penicillin.