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Infertility
Can infertility be treated with IVF?
Infertility cannot be universally treated with IVF; it requires specific analysis of each case. Before considering IVF, a pre-operative assessment is necessary to determine if the criteria for IVF are met. Infertility can be caused by male factors, female factors, or unknown reasons. Male factors can be addressed with artificial insemination or third-generation IVF. Female factors, like tubal issues, are suitable for IVF. If ovarian factors can stimulate follicle production, IVF is also possible. However, uterine factors causing infertility preclude the use of IVF.
How many abortions can lead to infertility?
How many abortions lead to infertility is uncertain. Some people become infertile after just one abortion, while others may still be able to conceive normally after four or five abortions. This varies greatly depending on the individual's constitution, their condition after the procedure, and the doctor performing the surgery. Some people have weaker immune systems and may experience infections within the uterine cavity after surgery; such conditions can easily lead to uterine adhesions and blockages in the fallopian tubes, resulting in infertility. Others with stronger immune systems can recover quickly after surgery, generally without impacting their ability to conceive. Inexperienced surgeons might cause damage to the endometrium and uterine adhesions, which can also lead to infertility.
What should an infertile man check?
The definitive diagnosis of male infertility requires determination based on professional examination procedures. Common examinations include the following: First, it is crucial to conduct a medical history interview. The patient should actively cooperate and honestly report their conditions, such as whether they have had mumps, any unsafe sexual behaviors, and what their occupation is. Second, a physical examination, including a general body and reproductive organ examination, is necessary. Special attention should be given to the patient's developmental, nutritional, and mental status, with a focus on the development of the reproductive organs. Third, laboratory tests. The most common is semen analysis. Other tests may be selected based on specific conditions, such as X-ray examinations to determine the location of any blockage in the vas deferens. Techniques such as vasography, epididymography, vas deferens and seminal vesicle radiography, or urethrography can be used. Testicular exams are also performed to assess the condition of the testicles. Additionally, immunological tests, including sperm agglutination and immobilization tests, are used to detect sperm agglutination antibodies or immobilization antibodies in serum or seminal plasma, which help assess the immune status.
Causes of Infertility in Endometriosis
Endometriosis is a common gynecological disease that severely troubles women's daily lives. Besides causing painful menstruation, endometriosis is also a common cause of infertility. The reasons for infertility caused by endometriosis include the following aspects: First, endometriosis often leads to the formation of chocolate cysts on the ovaries, which can affect ovarian function and cause impaired ovarian function. Second, endometriosis can sometimes affect the function of the fallopian tubes, causing adhesions in the fallopian tubes. This may result in difficulties in egg pickup, preventing the sperm and egg from meeting and forming a fertilized egg in the fallopian tubes, leading to infertility.
Does dysmenorrhea cause infertility?
The causes of dysmenorrhea are divided into primary dysmenorrhea and secondary dysmenorrhea. In primary dysmenorrhea, women do not have organic pathological changes in the reproductive system, and it usually does not affect normal pregnancy. Secondary dysmenorrhea is often caused by organic pathological changes in the reproductive system, such as submucosal fibroids, adenomyosis, ovarian endometriomas, etc. These conditions can change the internal environment of the pelvic and uterine cavities, affecting various aspects such as the implantation of the fertilized egg, thus impacting normal pregnancy. Therefore, when a woman is diagnosed with secondary dysmenorrhea, it is important to identify the cause of the pain and provide appropriate treatment to avoid affecting future normal pregnancies.
Does endometriosis cause infertility?
Endometriosis is a common cause of infertility, primarily due to the ectopic implantation of endometrial tissue in the pelvic cavity or other locations. Endometriosis leads to infertility mainly because it affects ovarian function, such as causing ovulatory disorders. Additionally, endometriosis can cause pelvic adhesions, affecting the function of the fallopian tubes, such as their ability to pick up eggs. Women with infertility should be checked for endometriosis, and if confirmed, surgical or medicinal treatments can be considered to improve the condition and potentially increase the chances of conception. Therefore, endometriosis is a cause of infertility, and careful examination for endometriosis should be conducted in patients with infertility.
What are the routine examinations for infertility?
Infertility examinations typically include physical exams and special tests. Physical exams mainly involve checking the development of internal and external reproductive organs and secondary sexual characteristics. Special tests can include examining the quality of male semen, endocrine conditions, and anti-sperm antibodies. Additional procedures can include scrotal ultrasound, prostate ultrasound, prostate massage fluid analysis, and monitoring of the spermatic veins with ultrasound to check for varicoceles. For females, it is important to check for any underlying diseases and ensure normal development of the uterus, ovaries, and adnexa. Examinations should also check for uterine fibroids, ovarian cysts, and endometriomas, and assess for any abnormalities in the reproductive tract. Monitoring ovulation is also crucial to identify any abnormalities in ovulation. If ovulation is normal, the patency of the fallopian tubes should be checked, which can be done through a fallopian tube iodine contrast imaging procedure.
How many people are infertile?
The infertility rate in our country is around 12%. According to the data released by the China Population Association and the National Health and Family Planning Commission, the infertility rate among couples of childbearing age in China has climbed from 2.5%-3% twenty years ago to about 12%-15% this year, with the number of affected individuals exceeding 50 million. Among these 50 million patients, 50% are women, 40% are men, and about 10% are cases involving both partners. With increasing environmental pollution, delayed childbearing age, and growing life pressures, the number of couples experiencing infertility continues to rise.
Can cold in the uterus cause infertility?
Cold in the uterus can lead to infertility. It can affect the vitality of sperm and create an environment unsuitable for fetal development. Women with cold in the uterus should avoid getting cold, especially avoid eating cold drinks and cold foods during menstruation and can eat more blood-nourishing foods like donkey-hide gelatin and deer antler glue after menstruation. There are many treatment methods for cold in the uterus, including using Chinese medicine to warm the kidneys and dispel cold, as well as external application of Chinese medicine and acupuncture. During menstruation, patients with cold in the uterus should eat more walnuts, dates, and peanuts to nourish qi and warm the body.
How to treat amenorrhea infertility?
Amenorrhea-induced infertility first requires identifying the underlying cause of the amenorrhea. If it is due to intrauterine adhesions, a hysteroscopic adhesion lysis can be performed. After surgery, promoting the development of the endometrium can normalize uterine lining growth and serve a therapeutic function. If the amenorrhea is caused by ovarian secretory dysfunction, adjusting ovarian function can help, as conditions like amenorrhea-galactorrhea syndrome and polycystic ovary syndrome are caused by amenorrhea and lead to infertility, in which case hormonal regulation can treat infertility. Amenorrhea caused by premature ovarian failure can pose significant treatment challenges if the deterioration is severe. Thus, determining the specific cause of amenorrhea is essential for targeted treatment.