How long does it take to be considered infertile when trying to conceive?

Written by Zhang Lu
Obstetrics
Updated on November 28, 2024
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Pregnancy for women requires a certain amount of time to be successful, and if one cannot become pregnant in the short term, it does not necessarily mean infertility. It could be due to irregular ovulation or incorrect timing of sexual activity. In clinical practice, it is generally considered that if one has been trying to conceive normally without deliberate contraception and still cannot become pregnant after a year, then infertility should be diagnosed. For cases where conception hasn't occurred after a year of trying, examinations should be carried out for both partners to determine if there are any pathological factors.

First, the male partner should have chromosome and sperm analysis;

Second, the female partner should be checked for chromosomal infections, immune factors, rheumatology factors, etc. After clearly identifying the reasons, interventions should be made as much as possible to guide normal conception.

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Can biochemical energy eliminate infertility?

Having one biochemical pregnancy does not necessarily mean that the patient is infertile. Generally, after one biochemical pregnancy, with appropriate adjustment, it is possible to have a normal pregnancy next time. The causes of biochemical pregnancy result from natural selection, most commonly due to defects in the fertilized egg itself, insufficient function of the ovarian corpus luteum, abnormalities in the endometrium, underdeveloped uterus, or conditions such as uterine fibroids or endometrial tuberculosis. These factors can affect the implantation of the fertilized egg. It is advised to undergo thorough pre-pregnancy checks before attempting to conceive again.

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Will taking melatonin cause infertility in women?

Taking melatonin daily will not cause infertility in women. Melatonin can help with sleep and regulate immune function, but for women around 30 years old experiencing poor sleep, it should not be taken frequently. Since it is a hormonal medication, long-term use can not only have adverse effects on the body but also lead to dependency. During this period, women should ensure proper rest, engage in appropriate daytime activities, and maintain a regular lifestyle to help improve sleep quality. Additionally, maintaining a good mood is important. If you feel particularly depressed, it is advisable to consult a psychologist.

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Infertility is what it means.

I think it's important to first clarify the definition of infertility, which is defined as couples living together for over two years with regular sexual activity, not using contraception, and not conceiving. Those who have never conceived without contraception after marriage are defined as primary infertility, while those who have been pregnant before and then, without using contraception, have not conceived again for two years are defined as secondary infertility. According to the World Health Organization's manual on standard examinations and diagnoses for infertile couples, the clinical standard for infertility is defined as one year. However, currently, we think that individuals who have had regular sexual activity without contraception and have not conceived for over a year should be advised to visit a specialized hospital and consult the gynecology or traditional Chinese medicine departments to investigate the causes of infertility.

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Can qi and blood deficiency lead to infertility?

Insufficient qi and blood can indirectly cause infertility. Symptoms of insufficient qi and blood include dizziness, weakness, poor sleep quality, and pale complexion. These conditions can lead to changes in menstruation, such as delays in the onset of periods and reduced menstrual flow; the color may also become lighter. There is a direct relationship between menstruation and infertility, which suggests that women with insufficient qi and blood may experience infertility symptoms due to this deficiency.

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Can infertility ovulate?

I would like to discuss the causes of female infertility. The main causes of female infertility are ovulatory disorders and fallopian tube factors. If infertility is primarily due to fallopian tube factors, the patient does not have ovulatory disorders and can ovulate normally. Many cases of infertility are due to ovulatory disorders, which may be caused by ovarian dysfunction leading to persistent anovulation. Some are due to ovarian diseases, underdeveloped ovaries, polycystic ovary syndrome, premature ovarian failure, and functional ovarian tumors. Or it could be due to dysfunction of the hypothalamic-pituitary-ovarian axis causing anovulation. It could also be due to endocrine metabolic diseases, such as hyperfunction or hypofunction of the thyroid or adrenal cortex, which can lead to anovulation. Therefore, in women with infertility caused by fallopian tube factors, ovulation can occur; if it is caused by ovulatory disorders, it involves ineffective ovulation or an inability to ovulate.