What should I do if I have irregular menstruation and infertility?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on January 11, 2025
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If menstrual irregularities lead to infertility, the first step is to go to the hospital for an endocrine test. Menstrual irregularities generally indicate a dysfunction in ovarian function. At this time, you can go to the hospital for a blood test, which should be done on the second to fifth day of the menstrual period. It is important to fast before the blood test. After the blood test, treatment should be based on the results. Generally, patients with menstrual irregularities experience ovulation disorders or ovarian secretion dysfunction, causing abnormal hormone levels in the body, which are not conducive to egg implantation and development. Therefore, if menstrual irregularities lead to infertility, it is essential to undergo relevant medical examinations at the hospital and then treat based on the findings. Moreover, if you have been trying to conceive for over a year without success, be sure to undergo other infertility tests.

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Written by Kang Jian Hua
Reproductive Center
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When should infertility be investigated?

There are many reasons for infertility, involving factors from the male, the female, or both. The specific timing for testing cannot be generalized and should be determined based on the test required. For male factors, if a semen analysis is needed, it is best to abstain from ejaculation for two to seven days and conduct the test in the morning. If testing involves blood work for six sexual hormones, it should be done in the morning on an empty stomach. A prostate examination requires urine retention before the test. For female factors causing infertility, blood tests should also be done in the morning on an empty stomach. Hysterosalpingography should be scheduled to avoid the menstrual period, ideally two to seven days after the period ends. Consult a professional physician for other specific tests.

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Written by Jia Rui
Obstetrics and Gynecology
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Will menstruation ahead of schedule lead to infertility?

Menstruation occurring earlier than expected might lead to infertility. Generally, if a woman's period occurs every 20 days or so, it may be indicative of a shortened luteal phase, which can impact pregnancy. If menstruation consistently occurs earlier, it can affect ovulation and the development of the endometrium, which is disadvantageous for conception. If the advance in timing is significant, it usually suggests poor ovarian function, which can impact the development of follicles and the endometrium, thereby affecting pregnancy. If the cycle is very regular and involves normal follicles, the possibility of pregnancy cannot be ruled out. It is recommended to maintain a good mood and ensure adequate rest.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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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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Written by Kang Jian Hua
Reproductive Center
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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.

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Can infertility be inherited?

Regarding the question of whether infertility is hereditary, we cannot generalize. We should analyze specific situations individually. For infertility caused by chromosomal or genetic abnormalities, it may be inherited by offspring. In such cases, one should choose targeted treatments under the guidance of a specialist. However, infertility due to non-genetic factors can often be cured through proactive treatment. Usually, the female can conceive and the condition will not be passed on to the offspring. For better treatment and diagnosis, it is recommended to visit a reputable public hospital locally to get a clear diagnosis and treatment, which can save both time and money.