Infertility is what it means.

Written by Zhang Wei Wei
Integrative Medicine
Updated on January 24, 2025
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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.

Other Voices

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Written by Kang Jian Hua
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Can infertility be treated with IVF?

Infertility cannot be universally treated with IVF; it requires specific analysis of each case. Before considering IVF, a pre-operative assessment is necessary to determine if the criteria for IVF are met. Infertility can be caused by male factors, female factors, or unknown reasons. Male factors can be addressed with artificial insemination or third-generation IVF. Female factors, like tubal issues, are suitable for IVF. If ovarian factors can stimulate follicle production, IVF is also possible. However, uterine factors causing infertility preclude the use of IVF.

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Written by Zhang Shu Kun
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How to deal with infertility caused by cold in the body?

Patients with cold-induced infertility often have a close relation to their living environment, lifestyle, and dietary habits. Keeping feet in warm water for about 10 to 30 minutes can effectively improve blood circulation and metabolism, promoting better blood flow and removing blockages in channels and collaterals, which can effectively alleviate cold constitution. Additionally, practices like scraping therapy and acupuncture can remove dampness from the body. Dietarily, it is important to avoid spicy, stimulating, and cold foods to prevent exacerbating the condition. Consuming warm-natured foods such as beef, lamb, red dates, brown sugar, and donkey-hide gelatin can effectively improve symptoms of a cold constitution.

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Written by Li Shun Hua
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Can uterine bleeding cause infertility?

Uterine bleeding can be normal or abnormal. Normal uterine bleeding refers to menstruation, which does not lead to infertility. Lack of uterine bleeding may indicate abnormal endocrine function, which could potentially cause infertility. However, if uterine bleeding occurs at times other than menstruation, it is considered abnormal uterine bleeding. There are various causes for abnormal uterine bleeding, and it can affect pregnancy. The most common reason for abnormal uterine bleeding is hormonal imbalance, which leads to irregular ovulation and may result in infertility.

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Written by Zhao Su Min
Obstetrics
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Why am I infertile after a cesarean section?

Infertility after cesarean section may be due to the manipulation of surgical instruments on the uterus or postoperative puerperal infection, leading to pelvic inflammation and fallopian tube blockage, resulting in infertility. Therefore, it is crucial to pay attention to hygiene during the puerperium after a cesarean section, monitor the recovery of the uterus and the lochia, and observe the color and odor of the lochia daily. If the uterus does not recover well, and the lochia is excessive or persists for a long time, it is important to seek medical advice early. If there is a foul odor, timely treatment is necessary to avoid chronic pelvic inflammatory disease. It is also essential to get out of bed and move around timely to prevent the formation of venous thrombosis.

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Written by Kang Jian Hua
Reproductive Center
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How many people are infertile?

The infertility rate in our country is around 12%. According to the data released by the China Population Association and the National Health and Family Planning Commission, the infertility rate among couples of childbearing age in China has climbed from 2.5%-3% twenty years ago to about 12%-15% this year, with the number of affected individuals exceeding 50 million. Among these 50 million patients, 50% are women, 40% are men, and about 10% are cases involving both partners. With increasing environmental pollution, delayed childbearing age, and growing life pressures, the number of couples experiencing infertility continues to rise.