Infertility (alias: infertility, infertility, of female infertility)


infertility (infertility) refers to all couples have normal sexual life after marriage, not contraceptive, cohabitation 2 years without conceived a disease. 2 years after the original conception never called infertility; Had the birth or abortion, and 2 consecutive years or above the infertility, called secondary causes of infertility. The absolute infertility refers to the couple regardless of which party have congenital or the tile serious anatomic anomalies or physiological defects, regardless of the type of method to treat all cannot be successful treatment, which is due to a clinical manifestations of infertility, such as congenital without the uterus. Relativity infertility caused by means of difficulty conceiving a cause reduced fertility, the patients unable to conceive, but through the treatment can still pregnant, such as uterine dysplasia, etc.

an, reason of disease of

infertility reason may in the woman, the man or men and women both parties. The factors of about 60%, the man physical assessment factors about 30%, both parties are factors about 10%.

1, female infertility factor

(1) the vulvovaginal candidiasis factors:

(1) vaginal abnormal circumcision, development; Cherry abnormal development; Vaginal abnormal development;

(2) scar stricture;

(3) vaginal inflammation.

(2) cervical factors:

(1) abnormal cervical development;

(2) cervical inflammation;

an, the early symptoms

1, menstrual abnormalities: menstrual cycle change: menstrual ahead or delay; By volume too much, too little; Menstrual extension; Have amenorrhoea, dysmenorrhea, irregular vaginal bleeding.

2, breast and secretion exception: the lactation breast milk or by after extrusion overflow, suggesting the hypothalamus, the function is not complete pituitary tumor, prolactin or primary tumor low thyroid function, diseases such as chronic renal failure, by taking the pill and the equality of blood caused by blood pressure drugs, overflowing with milk often infertility amenorrhea.

3, vaginal inflammatory disease vaginal increase, the attachment to the mass, thickening and tenderness.

4, menstrual around Health Food the disease: a few female menstruation comes up periodically before and after the line milk bilge, headache, diarrhea, fever, bloated discharge mouth, listlessness, facial acne, wheal, depression or irritable and so on a series of symptoms, often for endocrine disorders and corpus luteum the function is not complete cause, often can cause infertility.

5, endometrial retardation, uterus dysplasia and deformity.

6, and severe malnutrition, size and weight index (body mass index, BMI) that weight (kg)/height (m2) anomalies, and so on.

2, clinical manifestation,

1, sexually transmitted disease infertility

by sexual transmission of the disease always called diseases, including gonorrhea and syphilis, chlamydia, mycoplasma infection, and toxoplasma gondii infection, etc. These diseases, some can cause fallopian tube obstruction, some cause endometritis, uterine muscle wall damage, such as endocrine dysfunction and sterlity; Some of the damage caused by vital organs, endanger life; Some in pregnancy can occur during the illness premature birth or abortion, stillbirth.

2, immunity infertility

sex life circumstances, the body of the reproductive process produced any link spontaneous immune, delay conception more than two years, called immunity infertility. Immunity infertility have broad and narrow the points. General immunity infertility is to point to the hypothalamus ~ ~ of the pituitary gland ovarian (testicular) axis any organization antigen immunity, the female can be performance for no ovulation, amenorrhoea, men may display to reduce or sperm motility lower sperm. Immunity infertility is commonly referred to the narrow sense, that is, except the existing infertile couples antisperm immune or resistance with transparent immune outside, other aspects are normal.

3, endocrine lost tonal infertility

1, ovulation obstacles and promote ovulation treatment to the establishment of the normal ovulation hypothalamus ~ ~ ovarian function normal shaft of the pituitary gland. Any one place dysfunction may result in not ovulation, therefore cause no menstrual period, thin hair, power such as blood, to infertility.

2, amenorrhea for many reasons caused amenorrhea. But from the point of view of infertility, the most important is to determine the extent of its amenorrhoea, so as to induce ovulation, make its pregnancy.

4, ovarian infertility

ovarian is ShengShiXian organ of childbearing age, ovarian long approximately 2.5 ~ 5.0 cm, 1.5 3.0 cm wide, thick about 0.6 ~ 1.5 cm. Normal when ovarian located in ovarian nest inside. The main functions of the ovary is produced and the discharge eggs, and steroid hormone secretion. If ovarian dysplasia, dysfunction or happen tumor development, affect human body are healthy and fertility, etc.

5, oviduct infertility

oviduct infertility cause female infertility is one of the main causes of tubal adhesion, is blocked, affect sperm, eggs, transportation, combined, and cause infertility. In recent years to sexually transmitted disease (STD) of rain bacteria, chlamydia trachomatis sex oviduct inflammatory lead to infertility was significantly higher incidence of trend, reproductive tract infection prevention and control of infertility is very important. 2 developmental anomalies fallopian tube growth unusual fallopian tube is rare, hard to find, often with the genital tract growth unusual coexist, to infertility or ectopic pregnancy.

6, endometriosis infertility

endometriosis endometrial uterine cavity growth in any part of the outside caused gynecological diseases. As in the uterus, ovarian sacral ligament, lower uterine segment membrane layer, uterine wall after the sigmoid colon and rectum lacuna pelvic etc place, can also occur in myometrium, the clinical admiral endometriosis divided into external type endometriosis and inner type endometriosis. Patients often complained of infertility, and pelvic pain period and attendance. Reported at home and abroad and endometriosis patients infertility rates of 40% or so.

7, uterus infertility

uterine deformity, dysplasia, endometritis, uterine fibroids, uterine cavity adhesion, abnormal uterine position and the endothelial function is not complete, can affect sperm operation, a fertilized egg implantation and fetal development, growth, cause infertility or abortion.

8, cervical infertility

cervical diseases caused by the account for infertility infertility 5% ~ 10%. Cervical form and the function of the cervical mucous directly influence whether there are a number of sperm into the upstream of uterine can, cervix organic or functional disease affects the sperm or sperm into and stored in cervical tube. As the first cervical sperm through a pass, the anatomic physical any change in can affect sperm through to infertility.

9, vulvae, vaginal infertility

vulvae, vaginal diseases caused by the account for infertility infertility 1% ~ 5%. Vaginal is sexual intercourse and semen let receptors, some vulvae, vaginal organic or functional disease affects the sperm or sperm into and stored in the vagina, or because of its environment change affects the function of normal sperm and the infertility.

10, reduce weight excessive can cause infertility

reasonable fat intake for fertility function is very important to maintain. In order to lose weight, eat only vegetarian, cause nutritional imbalance, protein intake declined, can affect the reproductive function to stop ovulation. Trace elements a serious lack of also can affect fertility, such as lack of TieZe hard to maintain normal menstrual quantity and menstrual cycle, zinc deficiency can cause ovarian function underdevelopment, lack iodine is likely to cause amenorrhea. .

11, unexplained infertility

through the check without the above-mentioned reason, also can be years infertility.

12, psychological factors infertility

psychogenic factors is also cause the female infertility one important reason, it needs to be more treatment as soon as possible and take care of his family. In order to more accurately targeted for treatment, this needs we read of female infertility psychology. Women of infertility patients psychological factors mainly reflects in: the inferiority, disconcerting, stress, social reduce, lack of interest to the life, the shipping agent anxious, loss, they don’t want to talk to others and taboo and fertility problems, this kind of phenomenon in the rural culture of low levels of infertility patients it is more serious, many women with the extension of marriage age, older, psychological pressure would be more heavy, thus losing the cure of faith.

an, laboratory examination

1, progesterone test whether judge ovarian estrogen production feasible progesterone test.

2, estrogen test progesterone test negative person can do test estrogen, progesterone test to determine whether the reason for estrogen level negative low.

3, FSH and LH, PRL determine appropriate determination of various kinds of blood hormone levels, but have the function of the ovaries status and effect the link to more information, detection serum FSH and LH, PRL, E2 can identify ovarian or pituitary sex ovulation obstacles in amenorrhoea. To determine whether such as ovarian has lost the ability of secreting estrogen, or because of the lack of gonadotropins and ovarian not of steroid hormones secretion. Using radiation immune method for the determination of gonadotropins, according to the serum FSH




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