Classification of the Causes of Infertility

Written by Wang Jing Hua
Obstetrics and Gynecology
Updated on December 25, 2024
00:00
00:00

For infertility, it is important to conduct relevant tests as early as possible while young, to receive effective treatment promptly, and to complete childbirth at the earliest. Firstly, male testing should be conducted because the probability of male infertility is also high, and the tests for males are relatively simpler. Afterwards, the causes in females should be investigated, such as monitoring ovulation and conducting endocrine tests for ovulation. Then, the condition of the endometrium should be examined, and a hysterosalpingography should be performed between the third and seventh days of a clean menstrual period to see if this factor contributes to infertility. Subsequently, various biochemical tests, such as immune function and pre-thrombotic state, should also be considered.

Other Voices

doctor image
home-news-image
Written by Wang Jing Hua
Obstetrics and Gynecology
42sec home-news-image

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.

doctor image
home-news-image
Written by Kang Jian Hua
Reproductive Center
34sec home-news-image

Can infertility be cured?

Infertility cannot be universally treated; it requires a specific analysis of each case. For instance, infertility caused by congenital factors, like congenital absence of testicles or uterus, is often difficult to treat. However, infertility resulting from acquired causes, such as sexual dysfunction, abnormal male semen, uterine fibroids, or ovarian cysts in females, can often be treated with medication, surgery, or assisted reproductive technologies like in-vitro fertilization, and in many cases can be cured.

doctor image
home-news-image
Written by Kang Jian Hua
Reproductive Center
43sec home-news-image

Infertility is a condition.

Infertility refers to the condition where, after a couple has married and cohabited for more than a year, despite having regular sexual intercourse without any contraception, they are unable to conceive naturally. There are many factors that can cause infertility, including factors related to the male, the female, or both. Male factors account for about 40% of infertility cases, female factors account for about 50%, and combined factors account for about 10%. Female infertility includes ovarian infertility, fallopian tube infertility, uterine infertility, cervical infertility, vaginal infertility, immunological infertility, and more.

doctor image
home-news-image
Written by Kang Jian Hua
Reproductive Center
45sec home-news-image

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.

doctor image
home-news-image
Written by Zhao Min Ying
Reproductive Medicine
1min 23sec home-news-image

What tests are done for infertility?

Couples who have lived together for more than a year and have regular sexual intercourse without using any contraception and still have not conceived are diagnosed with infertility. For men, it is referred to as sterility. Infertility requires couples to visit the reproductive medicine department for relevant infertility tests. The tests for men are simpler, primarily requiring abstinence from sexual activity for two to seven days before undergoing a semen analysis. For women, the tests vary depending on the condition but generally include the following aspects: First, blood tests related to endocrinology are conducted 2 to 4 days into menstruation. Second, from 3 to 7 days after menstruation ends, during which sexual intercourse should be avoided, tests can be conducted to check the patency of the fallopian tubes. Third, ovulation can be monitored by ultrasound from days 9 to 11 of the menstrual cycle until ovulation is confirmed. Additionally, routine gynecological examinations, including checks of the cervix and ultrasound examinations, are also conducted.