There are many reasons for infertility. It is recommended that both husband and wife go to the regular hospital for systematic infertility check to determine whether infertility is caused by the male factor, the female factor or both factors. Generally, women will do vaginal and uterine examinations, while men will do semen examinations and vas deferens.
1. Female infertility examination project
Vaginal examination, cervical examination, uterine examination, fallopian tube examination, ovarian examination, pelvic examination, endocrine examination, immune factor examination, systemic factor examination, mental and psychological factors examination, congenital factor examination, ovulation function examination, B-ultrasound examination, Sex hormone test, TORCH virus test.
2. Male infertility inspection project
Urethral examination, prostate examination, seminal vesicle examination, epididymis examination, testicular examination, sex hormone examination, sexual function examination, ejaculation function examination, immune factor examination, endocrine examination, varicocele examination, trauma examination, radiological factor examination, sperm quality examination .
Infertility is a group of fertility disorders caused by multiple causes and is a reproductive health adverse event for couples of childbearing age. It is generally believed that women who have no contraceptive life for at least 12 months without pregnancy are called infertility and in men are called infertility. Infertility is divided into two major categories: primary and secondary. There has never been a history of pregnancy, no contraception, no pregnancy, no infertility, no history of pregnancy, and no contraception for 12 months. Those who are not pregnant are called secondary infertility.
Female oocytes, male sperm and genital tract anatomy and function, any abnormality in one link can lead to infertility or infertility. The incidence of infertility varies from country to country and from region to region. The incidence of infertility in China is about 7%-10%.
Finding the cause of infertility is the key to the diagnosis of infertility. The common causes of female infertility are pelvic factors and ovulation disorders. The treatment of female infertility mainly includes reproductive tract plastic surgery, induced ovulation and assisted reproductive technology.
Reasons for female infertility
1, pelvic factors: about 35% of the cause of infertility, including:
1 abnormal fallopian tube, chronic salpingitis caused by umbrella end occlusion, or destruction of the fallopian tube mucosa, so that the fallopian tube is completely blocked or accumulated water leads to infertility;
2 pelvic adhesion pelvic inflammatory disease, endometriosis, tuberculous pelvic inflammatory disease, etc. can cause local or extensive loose or dense adhesion, resulting in destruction of pelvic and fallopian function and structure;
3 typical symptoms of endometriosis are pelvic pain and infertility, mostly caused by pelvic and uterine cavity immune mechanism disorder leading to ovulation and fallopian tube function, fertilization, corpus luteum formation and endometrium
Receptive multiple links and multiple pregnancies have an impact;
4 endometrial lesions, with endometrial inflammation, adhesions, polyps and more;
5 uterine fibroids, including submucosal uterine fibroids, muscle wall tumors with large volume affecting the uterine cavity morphology can affect pregnancy;
6 genital tumors, the relationship with infertility is not certain, continuous anovulation caused by endocrine ovarian tumors can affect pregnancy;
7 genital developmental malformations, including uterine malformations, congenital tubal dysplasia, etc., may cause infertility and miscarriage.
2, ovulation disorders: accounted for 25% -35%. The main reasons are:
1 continuous anovulation;
2 polycystic ovary syndrome;
3 premature ovarian failure, ovarian dysfunction;
4 congenital gonads...
Symptoms of infertility
What are the symptoms of infertility? Usually, early infertility patients do not have obvious physical discomfort, but from the body can find some related minor changes, such as menstrual push, breast pain or galactorrhea, vaginal secretion Increased things, obesity, etc.
1, menstrual abnormalities
Female infertility will initially be reflected in menstruation. If you find abnormal menstruation, such as menstrual push or advance, sudden increase or decrease in menstrual flow, menstrual period with obvious abdominal pain or discomfort, and even amenorrhea, you need to pay great attention.
2, breast changes
Some breast milk spills in the non-lactating breasts, or breast swelling and pain, especially during menstruation, the swelling and pain is more obvious, and the breasts will have obvious lumps when they are lightly pressed.
3, abnormal vaginal secretion
Abnormal vaginal discharge, such as excessive vaginal discharge, odor, abnormal color, bloodshot vaginal discharge, itching and pain in the vagina. This is most likely an inflammation of the vagina or attachment.
4, abdominal pain, bulge
Patients with chronic pelvic inflammatory disease often have pains in the lower abdomen and lumbosacral sacs. Once fatigue, sexual life or menstruation, the symptoms worsen, affecting work, rest and husband and wife sex life. Because of long-term tolerance, patients may even develop mental symptoms.
Obesity can change the metabolic pathway of estrogen, so the female hormone produced is not like the estrogen secreted by the ovaries...
Infertility check item
Couples have sex for more than one year, and when the woman fails to become pregnant, it is recommended to do infertility check. For the situation of both parties, the hospital will provide different infertility inspection items. The male infertility check program mainly refers to semen examination, while female inspection items are relatively large. The steps for examining female infertility are as follows:
The first step is to perform an ovarian basic function assessment, which is required to be performed from the second to the third day of the initial menstrual cramps. Blood is drawn for six related sex hormone tests.
The second step is to do ovulation monitoring. A relatively coarse monitoring method can be carried out at home, that is, the basal body temperature is recorded every morning after getting up, and one month is continuously measured. The last menstruation is measured after the last menstrual cramp, and the ovulation is judged according to the change of body temperature. The precise method is follicular monitoring. Ultrasound is used to monitor follicular maturity from the ninth to the tenth day after the influx, and combined with the concentration of related sex hormones in the hematuria and changes in cervical mucus, continuous monitoring for one week.
The third step is to check whether the fallopian tube is unobstructed. The simple and common method is to perform hysterosalpingography. It should be performed from the third day to the seventh day after the menstruation is clean. In addition, laparoscopy can be done to monitor the pelvic condition.
Infertility 21 steps
Infertility is divided into infertility and infertility. It means that adults and men have no contraceptive life for more than one year without pregnancy.
There are many reasons for infertility, both men and women have responsibilities. The 21-step infertility method is a means to gradually improve the cause of infertility, and to form a scientific system for inspecting the causes of infertility.
The 21-step infertility method for infertility can be divided into 10 steps for men and 11 steps for women according to the method of gradual elimination of male and female.
Men's infertility 10 steps: including testicular, fine sputum, vas deferens, semen, urethra, epididymis, prostate, ejaculation dysfunction, sexual dysfunction, sex hormones, immune factors.
Female infertility 11 steps: including ovary, uterus, fallopian tube, cervix, vaginal, ovulatory disorders, pelvic, immune factors, endocrine, sex hormones, systemic factors.
It is recommended that pregnant couples go to professional and authoritative specialist hospitals for examination. These hospitals have better medical conditions, equipment and resources, and can use cutting-edge inspection equipment to more accurately locate the lesions. The diagnosis results are more accurate; By deciding the cause, it is also possible to present a more accurate treatment plan and prepare for the next treatment.
Infertility When a couple has a normal sex life and has not taken any contraceptive measures, if they live together for more than one year and cannot become pregnant, they are infertile. How to treat infertility? Combined with your own physical condition, timely conditioning, has a very important impact on infertility treatment.
1. Regulate emotions and relax. The liver, both the blood and the main vent. The liver is happy, so in life, keep your mood happy. If it is due to infertility caused by liver qi stagnation, you need to adjust your mood and relax your mood. This also requires the cooperation of family members. Family relationships and sputum can also increase the chance of conception.
Men also have infertility due to liver qi stagnation. Nowadays, the work pressure is high. In addition, some males have strong personality and have bad habits such as drinking and smoking, which will cause abnormal sperm, sperm deformity and less sperm, which will lead to infertility.
2. Control weight and exercise properly. Once a woman is obese, it may lead to less menstrual flow, fatigue, and increased vaginal discharge. Obese women with dampness and stagnation are mostly have a strong appetite, a small amount of exercise, and good absorption. For women with dampness and stagnation, you can take Siwutang and Cangfu Guishen Decoction. The decoction has the effects of strengthening the spleen and qi, resolving dampness and relieving kidney and helping the yang. At the same time, obese women should also exercise more, adhere to exercise, and rationally control diet.
Male obesity is also prone to phlegm and dampness, too...
Prevention of infertility
Infertility is divided into infertility and infertility. It refers to the situation in which couples of childbearing age live together for more than one year, have normal sexual life, and fail to successfully conceive without any contraceptive measures. Both husband and wife should promptly check the cause, timely treatment, and prevent the infertility.
1. Avoid infection with chlamydia: The female reproductive tract is usually the most vulnerable site. If you find an infection, you should seek medical advice in time to avoid the spread of infection, affecting the fallopian tubes and other organs of the pelvic cavity, causing infertility.
2, to avoid unclean sexual life: frequent replacement of sexual partners or multiple sexual partners, history of sexually transmitted infections or frequent unprotected sex, as well as high-risk groups such as sex workers and drug users, must strengthen the screen check.
3, to avoid high mental tension: pay attention to self-regulation, relax. When people are relaxed and happy, the indicators such as pulse, blood pressure and metabolism are in a state of stable coordination. The body's immune active substances are secreted more and have stronger resistance.
4, to avoid sexual life too frequent: semen contains a variety of proteins (antigens), if sexual life is too frequent will cause anti-sperm antibodies in women, thereby reducing the chance of sperm and egg binding.
5, to avoid the flow of people: people flow may cause bacterial infection, involving other genitals ...
Male infertility self-test When sexual behavior occurs without contraception for a long time, but it has not been able to conceive for a long time, there may be symptoms of infertility in one person, and males can respond through physical reactions in daily life. Infertility self-test:
1. If a male does not have an erection or an erection in a sexual life, it is not hard and is a symptom of impotence. This will lead to natural and accurate ejaculation in the course of sexual behavior, and even retrograde ejaculation, when there is no ejaculation ability, there is no way to reach orgasm, which is one of the symptoms of infertility.
2, male infertility and medical history are also related, if suffering from gonorrhea, mumps, tuberculosis, epididymitis, prostatitis, pyelonephritis, cystitis or spinal cord injury, etc., must go to the hospital to check clearly, so as not to affect Male infertility.
3, if men have low back pain, lower abdomen, perineum, spermatic cord, testicular discomfort, frequent urination, dysuria, urinary tract burning or urinary incontinence, accompanied by headache, insomnia, nocturnal emission, erectile dysfunction and other symptoms. When the body has the above discomfort, the disease that needs to be vigilant is prostatitis or seminal vesiculitis, which may lead to male infertility.
4. Observing through marriage and sexual life, including attitudes towards sexual life, sexual intercourse and frequency, whether there is no spermatorrhea, impotence, premature ejaculation, etc...