"What does infertility OC mean?"

Written by Kang Jian Hua
Reproductive Center
Updated on February 25, 2025
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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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What to do if scanty menstruation leads to infertility?

If there is infertility associated with scanty menstruation, it is important to first identify the cause. It is necessary to consider whether the scanty menstruation is due to previous intrauterine procedures, such as a history of abortion, intrauterine device insertion or removal, which could have caused endometrial damage, intrauterine adhesion, or thinning of the endometrium. Hysteroscopy for diagnosis and treatment might be required. Additionally, possible endocrine issues should be considered. Blood should be drawn during the menstrual period to check for sex hormones, thyroid hormones, and others.

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Can infertility be cured?

Infertility is mostly curable, and the causes can stem from the male partner, the female partner, or both. The first step is to identify the cause, and then under the guidance of a specialist, different treatment methods are adopted according to different causes. Common treatments include medication, surgical treatment, and when necessary, assisted reproductive technologies can be used. Assisted reproductive technologies have been a beacon of hope for many infertile couples, allowing them to successfully conceive and fulfill their desires to have children.

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Written by Xu Xiao Ming
Obstetrics and Gynecology
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Causes of infertility

Infertility may be due to factors involving either the male or the female. The main causes of female infertility include ovulatory disorders and fallopian tube factors. Ovulatory disorders may result from dysfunction in ovulation, such as changes in the hypothalamic-pituitary-ovarian axis, as well as ovarian diseases, with polycystic ovary syndrome being the most common condition that could lead to ovulatory issues. Fallopian tube factors include blockages or inefficiencies, which can also cause infertility in women. Uterine factors can also lead to infertility, including abnormalities of the uterus, inflammation of the endometrium, polyps in the endometrium, and intrauterine adhesions, all of which can affect the implantation of the fertilized egg and cause infertility. Abnormal cervical mucus secretion, cervical inflammation, and an unusual immune environment in cervical mucus that affects sperm passage can also lead to infertility. Male infertility factors primarily include disorders of sperm production and sperm delivery, which may manifest as abnormalities in semen, shown by the absence of sperm, weak sperm, or low sperm count, all contributing to infertility. Additionally, sexual dysfunctions such as premature ejaculation, anejaculation, and erectile dysfunction can also result in male infertility.

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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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What are the causes of male infertility?

There are many diseases or factors that can lead to male infertility, leading to azoospermia, severe oligospermia, and oligozoospermia, as well as normospermic infertility, polyspermia, asthenospermia, etc. The main causes can be summarized in the following points: First, male sexual dysfunction, such as erectile dysfunction, premature ejaculation, and anejaculation, can all cause male infertility. Second, abnormalities in sperm structure and seminal plasma can affect sperm motility, capacity, and reaction. Third, obstruction of the vas deferens affects the transport of sperm. Fourth, infection of the reproductive tract. Fifth, endocrine disorders, including deficiencies in gonadotropins. Sixth, chromosomal abnormalities, including the common pseudohermaphroditism chromosome.