What are the reasons why women are not pregnant?
1, improper sexual life: because of the timing of sexual life, the timing before sexual life, sexual posture and female sexual dysfunction, it leads to non-pregnancy.
2. Cervical factors: Cervical diseases include cervical erosion, cervical polyps, cervical hypertrophy and abnormal cervical mucus.
3, vaginal abnormalities: congenital absence of vagina, including congenital vaginal diseases such as hymen atresia, vaginal stenosis and adhesion, as well as vulvovaginitis, vulvovaginal tumors and so on.
4, endocrine factors: thyroid gland, adrenal pituitary adenoma and other abnormal functions, endocrine disorders can cause women to have irregular menstruation, ovulation disorders, amenorrhea and other infertility.
5, ovarian factors: premature ovarian failure, ovarian dysplasia, inflammation and so on. Can cause infertility, infertility caused by ovarian factors accounts for about 15%-20% of infertility.
6. Uterine diseases: Many women suffer from uterine diseases due to endometriosis, hysteromyoma and uterine dysplasia.
7. Fallopian tube blockage: Fallopian tube is the channel for transporting eggs, and it is also the place where sperm and eggs combine. Inflammation, adhesion and obstruction of fallopian tubes can cause infertility, which is one of the important factors leading to infertility.
How to treat women who are not pregnant?
1, drug therapy for anovulation. Estrogen is used to induce ovulation and improve the quality of cervical mucus. Methods There are simple estrogen cycle therapy and combined estrogen and progesterone artificial cycle therapy. Progesterone, used in the second half of menstrual cycle or combined treatment of estrogen and progesterone, can improve ovarian function and promote ovulation in the next cycle.
2. Surgical treatment of anovulation. After wedge-shaped ovarian resection, 85% of patients had irregular menstruation, and the pregnancy rate was 63%.
3. Treatment of luteal insufficiency, clomiphene citrate (clomiphene citrate).
4. Treatment of tubal obstruction. Abdominal surgery is the first choice for tubal obstruction. Micro-plastic surgery is better than the usual naked eye surgery. Surgical treatment is suitable for patients under 35 years old; People diagnosed with tubal tuberculosis generally do not have plastic surgery; If the diameter of bilateral hydrosalpinx is greater than 3cm, even if the pipeline is unobstructed after operation, the chance of pregnancy is very small.
5. Treating infertility caused by intrauterine adhesion syndrome can promote the early repair of endometrium.
6. Treatment of hysteromyoma infertility. Drug therapy, mifepristone (RU-486) has a good therapeutic effect on uterine tumors. Surgical treatment, abdominal myomectomy; Hysteroscopic myomectomy; Laparoscopic myomectomy; Transvaginal myomectomy.