Can sexual apathy cause infertility?

Written by Zhao Min Ying

Reproductive Medicine

Updated on March 05, 2025

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Sexual indifference is a matter concerning the harmony of sexual life between couples, the stability of their relationship, and the quality of life. Regarding fertility, as long as the couple can have sexual intercourse, the male can ejaculate, and the semen can be deposited into the female reproductive tract, there is a chance of pregnancy. Therefore, from this perspective, mere sexual indifference, as long as intercourse can be completed, does not affect conception. However, if sexual indifference prevents intercourse, then it does affect the possibility of pregnancy. Therefore, ultrasound monitoring of ovulation and guiding intercourse during the ovulation period can increase the chances of pregnancy. When necessary, artificial insemination can also be considered to aid conception.

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Written by Kang Jian Hua

Reproductive Center

34sec

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Infertility blood tests test for what?

Patients with infertility undergo numerous blood tests. Firstly, these tests can determine the blood types and general blood profiles of both partners. Secondly, the tests examine the sex hormones of both individuals to check for any endocrine abnormalities. Thirdly, they can detect infectious diseases, such as hepatitis B, syphilis, HIV, cytomegalovirus, toxoplasmosis, and herpes zoster. Lastly, the tests can assess the chromosomes of both partners to identify any genetic issues.

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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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Written by Kang Jian Hua

Reproductive Center

1min 9sec

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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.

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Written by Wang Jing Hua

Obstetrics and Gynecology

41sec

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How should one pay attention to diet with infertility?

Infertility requires first identifying the cause of infertility, whether it is related to male factors or female factors. The likelihood of diet affecting infertility is not very high, however, if there is excessive obesity or extreme thinness, appropriate changes need to be made. Relevant examinations should be conducted, such as tests for blood sugar, insulin levels, etc. Patients with infertility should, like everyone else, avoid overly selective eating habits, pay attention to their weight, and maintain a balanced diet to ensure adequate nutrition intake, and avoid eating junk food.

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Written by Shen Li Wen

Obstetrics and Gynecology

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Can pelvic effusion cause infertility?

Usually, pelvic effusion in women does not lead to infertility. For instance, physiological conditions in women, such as during the menstrual period or around ovulation, can lead to a small amount of leakage in the pelvic cavity. During an ultrasound, this may appear as a small amount of pelvic effusion, which is usually absorbed normally and does not affect pregnancy. However, if a woman's pelvic effusion is due to inflammation, and this inflammation affects the fallopian tubes or ovaries, causing inflammation in these areas, it might impact the woman's ability to conceive normally.