The seven items of infertility are as follows:

Written by Kang Jian Hua
Reproductive Center
Updated on September 12, 2024
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In the examination items for infertility, the seven-item infertility tests are often mentioned. These seven tests include: anti-sperm antibody test, anti-endometrial antibody test, anti-zona pellucida antibody test, anti-trophoblast antibody test, anti-chorionic gonadotropin antibody test, anti-zinc ion antibody test, and anti-ovarian antibody test. Each of these tests targets different conditions. The anti-sperm antibody test and anti-endometrial antibody test are mainly used for the auxiliary diagnosis of immunological infertility. The anti-trophoblast antibody test is mainly used for diagnosing recurrent miscarriage. The anti-chorionic antibody test is primarily for the diagnostic examination of threatened miscarriage. The anti-zona pellucida antibody test is used mainly for the auxiliary diagnosis of premature ovarian failure. The anti-ovarian antibody test is used for conditions such as premature ovarian failure, infertility, menstrual disorders, etc. The anti-chorionic antibody test plays a role in the diagnosis of threatened miscarriage, and the anti-zinc ion antibody test is used for recurrent miscarriage and stillbirth and other related diseases.

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Written by Kang Jian Hua
Reproductive Center
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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.

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Written by Shen Li Wen
Obstetrics and Gynecology
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What tests are done for secondary infertility?

The most common cause of secondary infertility in women is blocked fallopian tubes. In this case, a hysterosalpingography with iodine oil should be performed to understand the patency of the fallopian tubes and the specific location of the blockage, which can guide future treatment. Additionally, if a woman has abnormal vaginal discharge, a routine gynecological examination should be conducted to check for any cervical lesions. A vaginal secretion test should be performed to see if vaginal inflammation is affecting normal pregnancy. Some women experience infertility after having an abortion or induced abortion, and for these women, it's also worth considering whether uterine issues are causing secondary infertility. A hysteroscopy can be done to investigate this. When a woman experiences secondary infertility, her sexual partner or spouse should also be examined to assess sperm quality and any potential obstacles in the sperm delivery pathway.

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Written by Zhang Shu Kun
Traditional Chinese Medicine
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How to regulate infertility caused by cold in the body?

Patients with cold-induced infertility can eat some foods that expel cold, such as adzuki beans, Chinese yam, coix seeds, and jujube, which can effectively help eliminate cold from the body. They can also drink chrysanthemum tea, fat sea, and honeysuckle tea, which can help regulate the body. It is also important to avoid cold, stimulating, and greasy foods, and it is recommended to eat more fresh fruits and vegetables to aid digestion in the gastrointestinal tract. Additionally, methods such as steam sauna, soaking feet in warm water, cupping, and moxibustion can effectively help expel cold and improve symptoms of infertility.

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Written by Zhang Lu
Obstetrics
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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.

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Written by Zhang Lu
Obstetrics
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How long does it take to be considered infertile when trying to conceive?

Pregnancy for women requires a certain amount of time to be successful, and if one cannot become pregnant in the short term, it does not necessarily mean infertility. It could be due to irregular ovulation or incorrect timing of sexual activity. In clinical practice, it is generally considered that if one has been trying to conceive normally without deliberate contraception and still cannot become pregnant after a year, then infertility should be diagnosed. For cases where conception hasn't occurred after a year of trying, examinations should be carried out for both partners to determine if there are any pathological factors. First, the male partner should have chromosome and sperm analysis; Second, the female partner should be checked for chromosomal infections, immune factors, rheumatology factors, etc. After clearly identifying the reasons, interventions should be made as much as possible to guide normal conception.