How many abortions can lead to infertility?

Written by Li Shun Hua
Obstetrics and Gynecology
Updated on September 09, 2024
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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.

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Written by Zhang Wei Wei
Integrative Medicine
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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.

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Written by Zhao Li Li
Obstetrics
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Can fallopian tube cysts cause infertility?

If it has been confirmed that there is a fallopian tube cyst, further examination is still needed to determine whether the fallopian tube cyst affects normal conception. If the fallopian tube cyst causes narrowing or blockage of the fallopian tube lumen, it may decrease the likelihood of normal conception or increase the risk of ectopic pregnancy. If the cyst on the fallopian tube does not affect the spaciousness of the entire lumen or cause any blockage of the fallopian tube, it generally will not have any impact on normal conception.

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Written by Kang Jian Hua
Reproductive Center
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What should infertile women check for?

The examination of infertile women mainly includes the following aspects. First is the physical examination, which covers a general examination and an examination of the internal and external genitalia. Through the physical examination, it can be determined whether the female sexual characteristics are normal and whether there are any abnormalities in the development of the external genitalia. The second type of examination is auxiliary examination, the most common of which are blood tests and ultrasound exams. Blood tests can provide information on whether there is any infection, the type of blood, and the endocrine situation. They can also examine chromosomal conditions. Through ultrasound, it is possible to find out if there are any abnormalities in the uterine adnexa. Additionally, there are some special tests, including ovarian function tests, fallopian tube patency tests, hysteroscopy, laparoscopy, and post-coital tests, among others.

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Written by Jia Rui
Obstetrics and Gynecology
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What are the precautions for infertility?

For women with infertility, it is first necessary to determine the survival rate of the man's sperm by conducting a sperm test. Additionally, women need to undergo routine examinations and follicle checks. If there are no issues found, a fallopian tube examination should be done for the woman. In daily life, it is important to ensure adequate sleep and to pay attention to rest and avoid alcohol and tobacco. Furthermore, it is crucial to eliminate tension, adjust one’s mindset, and adopt a positive attitude. Bad habits such as staying up late and pulling all-nighters need to be changed.

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Written by Zhang Lu
Obstetrics
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Why does a chocolate cyst cause infertility?

Chocolate cysts, also known as ovarian endometriomas, are a manifestation of endometriosis. Generally, it refers to the implantation of endometrial tissue on the ovaries, causing local infiltration and invasion, leading to cysts. Because the fluid inside the cyst resembles chocolate, they are called chocolate cysts. Chocolate cysts may cause infertility, for the following reasons: First, chocolate cysts can affect the function of the ovaries, causing ovulatory disorders and ovarian dysfunction. The secretion of estrogen and progesterone is relatively low, and these factors can lead to infertility. Second, chocolate cysts can cause adhesions within the pelvic cavity, affecting the egg-picking function of the fallopian tubes. This factor can also lead to female infertility.