What are the reasons for infertility despite having intercourse during the ovulation period?

Written by Yue Hua
Obstetrics and Gynecology
Updated on December 25, 2024
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The reasons for not getting pregnant despite having intercourse during the ovulation period primarily involve considering whether there is an issue with the male partner’s sperm. Additionally, although it is the ovulation period, the development of the follicles must also be examined. If the follicles are undeveloped, or if they are very small, pregnancy is unlikely in such cases. Moreover, the condition of the fallopian tubes should be checked, as both the egg and the sperm need to travel through these tubes. If the fallopian tubes are blocked, it will prevent pregnancy because the sperm and egg cannot meet, leading to infertility.

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Written by Kang Jian Hua
Reproductive Center
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How to treat infertility?

The treatment methods for infertility primarily include medication, surgical treatment, and assisted reproductive technologies. For couples with infertility, it is essential to adopt appropriate treatment methods based on different causes and conditions. Medication is a commonly used method, mainly targeting conditions such as oligospermia, asthenozoospermia, and reproductive tract infections in men, as well as menstrual disorders and reproductive tract infections in women. Surgical treatment mainly targets conditions such as varicocele and vas deferens obstruction in men, and uterine fibroids and polycystic ovary syndrome in women. Assisted reproductive technologies are mainly used for some patients who do not respond well to medication or surgery, such as men with idiopathic oligospermia and women with blocked fallopian tubes, requiring these technologies for treatment.

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Written by Kang Jian Hua
Reproductive Center
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How is infertility caused?

Infertility can occur if there is an issue with either partner. The main factors causing infertility in women include ovulation disorders, fallopian tube factors, and abnormal endometrial receptivity. The primary factors causing infertility in men are abnormal spermatogenesis and ovulation disorders. Common etiological diagnoses generally include ovulation disorders, abnormal semen, fallopian tube abnormalities, unexplained infertility, endometriosis, and other immunological infertility. Additionally, cervical factors can also lead to infertility, such as cervical stenosis, which accounts for more than 5% of cervical factors.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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Is secondary infertility easy to treat?

If it is infertility, treatment is relatively difficult and generally not easy. First, for secondary infertility, it depends on the cause. If it's due to fallopian tube blockage, the extent of the blockage needs to be considered. If it is because the ovaries do not ovulate, then it is necessary to go to the hospital for endocrine testing. Treatment should be based on the results of the endocrine tests, and only when hormone levels are normal will there be normal ovulation and clear fallopian tubes. Without problems related to immunity, it is possible to properly prepare for pregnancy. Therefore, if it is secondary infertility, it is essential to go to the hospital for infertility-related examinations to identify any abnormalities and treat them accordingly. Both primary and secondary infertility are difficult to treat.

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Written by Jia Rui
Obstetrics and Gynecology
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Can cold in the uterus cause infertility?

Cold in the uterus can lead to infertility. It can affect the vitality of sperm and create an environment unsuitable for fetal development. Women with cold in the uterus should avoid getting cold, especially avoid eating cold drinks and cold foods during menstruation and can eat more blood-nourishing foods like donkey-hide gelatin and deer antler glue after menstruation. There are many treatment methods for cold in the uterus, including using Chinese medicine to warm the kidneys and dispel cold, as well as external application of Chinese medicine and acupuncture. During menstruation, patients with cold in the uterus should eat more walnuts, dates, and peanuts to nourish qi and warm the body.

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Written by Kang Jian Hua
Reproductive Center
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How to cure immune infertility

Immune infertility comes in many forms, such as anti-sperm antibody positivity and anti-endometrial antibody positivity, among others. The treatment for immune infertility commonly involves the use of isolating therapy, which entails using a condom during sexual intercourse. After using this method for three to six months, it can reduce further stimulation of the female by the sperm antigen, and once the antibody effect has dissipated, intercourse is timed with ovulation. At this time, conception is often possible. For immune infertility, some may choose intrauterine artificial insemination depending on the situation, which involves processing and separating the husband's semen outside the body to extract high-quality sperm for intrauterine insemination. Another method is anti-immune therapy, but the medications often have adverse side effects on the body.