Can immunological infertility be treated?

Written by Kang Jian Hua
Reproductive Center
Updated on December 18, 2024
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Immunological infertility is treatable. There are several main methods for treating immunological infertility. The first method is the blocking therapy, which involves using condoms for 3-6 months to make the sperm antigen antibodies disappear, thereby increasing the conception rate through alternate day intercourse. Many women are able to conceive through this method. The second method is in vitro fertilization, which is chosen if there is a high density of antisperm antibodies in the woman's body, making in vitro fertilization necessary for conception. This method generally has a high success rate. The third method is intrauterine artificial insemination. When there are many antisperm antibodies in the woman’s cervical mucus, this method involves treating the male’s semen outside the body, selecting high-quality sperm for artificial insemination. The fourth method is immunosuppressive therapy, which primarily involves the use of corticosteroids. However, the use of these hormones often causes some adverse damage to the body.

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Written by Kang Jian Hua
Reproductive Center
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Treatment methods for infertility

The main treatment methods for infertility include medication, surgical treatment, and assisted reproductive technologies. Medication can target endocrine abnormalities and reproductive tract infections in both males and females. Surgical treatment can be aimed at conditions such as varicocele in males and uterine fibroids and ovarian cysts in females. Assisted reproductive technologies primarily address severe oligospermia in males and tubal blockages in females, among other common diseases. It is recommended to visit the reproductive medicine department of a local public hospital to clarify the cause of infertility and receive targeted treatment. (Specific medications should be taken under the guidance of a doctor.)

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Written by Zhao Min Ying
Reproductive Medicine
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Precautions for Infertility Examination

Infertility examinations primarily involve tests for both men and women. For men, the examination includes a semen analysis which requires abstinence for 2-7 days. Semen should be collected through masturbation, using a specialized semen collection cup provided by the laboratory. Ordinary condoms should not be used for semen collection. After collection, the semen must be kept warm and promptly delivered back to the laboratory. For women, the examinations include several aspects. First, during the menstrual period, blood is drawn on an empty stomach between the 2nd and 4th days to check hormone levels, and an ultrasound is used to assess the baseline state of the ovaries. Second, between the 3rd and 7th days after the menstrual period ends, when sexual intercourse is prohibited, tests are conducted to examine the uterus and fallopian tubes. These may include hysterosalpingography, hysteroscopy, or laparoscopy to evaluate the condition of the fallopian tubes. Third, monitoring ovulation with ultrasound begins from the 8th to 10th day of the menstrual cycle, tracking the development of follicles and the uterine lining until the follicle matures and ovulation occurs.

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Written by Shen Li Wen
Obstetrics and Gynecology
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Secondary infertility is how it comes about?

Secondary infertility is when a woman has been pregnant before but has not conceived after a year of not using contraception. The causes of secondary infertility are divided into male factors and female factors. Common male infertility factors include older age or habitual smoking and drinking, leading to decreased sperm quality. Female infertility factors are more numerous, such as excessive sexual activity during reproductive years or weak immune system leading to pelvic inflammatory disease. This inflammation can affect the fallopian tubes, causing blockages and resulting in infertility due to tubal factors; it can also spread to the endometrium, causing endometritis and altering the intrauterine environment, making conception difficult. Some women may suffer from endometriosis, which can also lead to infertility. In some cases, women who have had uterine procedures may experience adhesions in the cervical canal and uterine cavity or abnormal uterine shapes, leading to infertility. Additionally, some women experience significant blood loss after childbirth, leading to pituitary necrosis, hormonal imbalances, and ovulation disorders, which can affect normal conception.

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Written by Kang Jian Hua
Reproductive Center
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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 Zhang Xiu Rong
Obstetrics and Gynecology
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What should I do if I have irregular menstruation and infertility?

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.