Will taking melatonin cause infertility in women?

Written by Li Li Jie
Obstetrics and Gynecology
Updated on January 17, 2025
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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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Written by Zhao Min Ying
Reproductive Medicine
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How to diagnose infertility

When a couple lives together, has regular sexual intercourse without contraception for over a year, and does not conceive, it is termed infertility. If it concerns the female, it is called infertility, and if it concerns the male, it is called sterility. If a woman has previously been pregnant or has a history of childbirth or pregnancy, it is known as secondary infertility. If she has never been pregnant or had a childbirth, it is considered primary infertility. The same categories apply to males: those with a history of fathering a child, regardless of with which partner, are described as having secondary sterility, whereas those who have never impregnated a woman suffer from primary sterility. To diagnose infertility or sterility, one needs to undergo relevant medical checks at a hospital's reproductive medicine department. These examinations include ovulation monitoring, endocrine tests, gynecological examinations for women, and semen analyses and fallopian tube inspections for men, among others.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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What are the tests for infertility?

For infertility examinations, men typically undergo a routine semen analysis to check for any abnormalities. If there are abnormalities in the semen analysis, further testing might be needed for conditions such as varicocele or inflammation of the testicles and epididymis. For women, the examinations generally focus on the fallopian tubes to ensure they are patent, usually assessed through hysterosalpingography or a tubal patency test. Additionally, infertility tests include an ultrasound to monitor the follicles and check for any organic diseases in the uterus and ovaries. For women with menstrual irregularities, it's crucial to perform an endocrine test, specifically the six-item sex hormone check, as normal hormonal levels are necessary for regular menstruation and ovulation, and for the normal development of a fertilized egg. Other investigations for infertility might cover immune-related infertility among others, which require specific hospital tests. Moreover, if there has been a previous incidence of miscarriage, tests might include chromosomal analysis, tests for hemolysis, mycoplasma testing, and a set of tests for genetic counseling, all of which are part of the infertility examination process.

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Written by Kang Jian Hua
Reproductive Center
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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.

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Written by Kang Jian Hua
Reproductive Center
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Can immunological infertility be treated?

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 Zhang Shu Kun
Traditional Chinese Medicine
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Can cold body and cold uterus lead to infertility?

Patients with cold body constitution or cold in the uterus are more likely to experience infertility. Therefore, if one has a cold body constitution, it is important to adjust it promptly. Usually, you can eat some foods that eliminate coldness in the body, such as adzuki beans and coix seeds. Engaging in more physical exercise and sweating can also help expel the coldness through sweat. Alternatively, soaking in warm water, sauna treatments, cupping therapy, and moxibustion are effective methods for expelling internal coldness. These can improve symptoms of a cold constitution and spending more time in the sunlight can also boost the body's immunity.