Why am I infertile after a cesarean section?

Written by Zhao Su Min
Obstetrics
Updated on January 15, 2025
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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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Obstetrics and Gynecology
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The causes of infertility due to endometriosis

The main reason that endometriosis leads to infertility is that the condition alters the anatomical structure of the pelvic area. It is often found that there are extensive adhesions around the ovaries and fallopian tubes, which can lead to blockage or twisting of the fallopian tubes. This can cause abnormal movement of the fallopian tubes, impacting the transport of the fertilized egg. Additionally, in patients with endometriosis, the pelvic environment is also found to be poor, and some women may experience abnormalities in ovarian function, mainly manifesting as ovulatory disorders. These are all reasons that lead to infertility.

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Can infertility be inherited?

Regarding the question of whether infertility is hereditary, we cannot generalize. We should analyze specific situations individually. For infertility caused by chromosomal or genetic abnormalities, it may be inherited by offspring. In such cases, one should choose targeted treatments under the guidance of a specialist. However, infertility due to non-genetic factors can often be cured through proactive treatment. Usually, the female can conceive and the condition will not be passed on to the offspring. For better treatment and diagnosis, it is recommended to visit a reputable public hospital locally to get a clear diagnosis and treatment, which can save both time and money.

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Infertility blood tests test for what?

Patients with infertility undergo numerous blood tests. Firstly, these tests can determine the blood types and general blood profiles of both partners. Secondly, the tests examine the sex hormones of both individuals to check for any endocrine abnormalities. Thirdly, they can detect infectious diseases, such as hepatitis B, syphilis, HIV, cytomegalovirus, toxoplasmosis, and herpes zoster. Lastly, the tests can assess the chromosomes of both partners to identify any genetic issues.

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Written by Zhang Xiu Rong
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Can infertility have menstruation?

There are many causes of infertility. Normally, if a couple has been married for a year without using contraception and does not have a child, they are generally diagnosed with infertility. Infertility patients can develop from causes such as hormonal imbalances, which might lead to menstrual disorders and lack of normal ovulation, resulting in infertility. Infections like mycoplasma and chlamydia can also cause infertility, as can immune issues, abnormal ovulation, or problems with the fallopian tubes. However, infertility does not necessarily mean an absence of menstruation. Some patients may have normal menstrual cycles and ovulation. The reason for infertility in such cases might be due to blocked fallopian tubes or other hormonal issues. Therefore, whether an infertility patient has menstruation can vary; some may have a normal menstrual cycle, while others may not.

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Infertility means the inability to conceive (get pregnant) after a year or more of regular sexual activity without contraception.

Many people are not clear about the difference between infertility and sterility, thinking that infertility refers to the inability of a woman to conceive, while sterility refers to the inability of a man to reproduce. Actually, this understanding is incorrect, or rather, incomplete. Infertility should be defined as a couple living together for more than a year, having normal sexual intercourse without contraception, and being unable to cause pregnancy in the female, which is called infertility. Sterility, on the other hand, refers to the situation where the female can get pregnant but cannot give birth. Therefore, there is a certain difference between the two. There are primary and secondary infertility. Primary infertility refers to those who have never been pregnant or given birth before. Secondary infertility refers to those who have previously been pregnant or given birth, but later, due to some reason or disease, are unable to conceive after living together for more than a year, which is called secondary infertility.