20 19-02-24
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Deputy Chief Physician Suo Xiaoping
Suzhou Wu Dong Hospital of Integrated Traditional Chinese and Western Medicine Infertility Department
Disease analysis: Hello, usually: 1. Ask about the medical history. Doctors will ask female patients about their marriage age, health status, sexual life, etc. In addition, there is the menstrual cycle of female patients, whether dysmenorrhea. Second, vaginal color ultrasound examination, this female infertility examination is to observe the uterine environment, whether there are foreign bodies, such as uterine polyps, uterine fibroids and so on. And whether the endometrium is uniform, the internal environment will affect the implantation of fertilized eggs. Third, urine ovulation test, what tests should women do for infertility? The pregnancy process is formed by the combination of mature eggs and sperm in the fallopian tube. In every menstrual cycle of women, luteinizing hormone in urine will reach its peak within 24-48 hours before ovulation. Four, tubal patency examination, including tubal ventilation or fluid examination and hysterosalpingography, mainly to understand whether the fallopian tube is patency, and whether the development of uterine fallopian tube is normal, with or without abnormalities. It can also be used for the treatment of tubal patency (such as mild adhesion). I wish you a speedy recovery.
20 16-05-24
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Chief physician Sun Huiqing
Other Shandong Red Cross hospitals
Disease analysis: Infertility refers to those who have normal sexual life and have not taken contraceptive measures 1 ~ 2 years without pregnancy or childbirth. Among them, those who have never been pregnant are called primary infertility, and those who have given birth or miscarried for more than 2 years are called secondary infertility.
Suggestion: The causes of infertility include male factors (sexual dysfunction, abnormal semen, etc. ) and female factors: including ovulation disorder, fallopian tube, uterus, cervix and other factors. You must know the specific reasons and go to the hospital for a detailed examination.
20 14-09-0 1
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Attending physician Li
Qiqihar first hospital quanke
Analysis of illness: Which is the best infertility hospital in Nanjing? Female infertility factor (1) Vaginal factor Because of congenital factors such as vaginal atresia or vaginal septum, sexual intercourse is obstructed or difficult, thus affecting sperm entering female reproductive tract. Furthermore, vaginal inflammation caused by mold, trichomonas, gonococcus and other infections changes the vaginal biochemical environment and reduces the motility and vitality of sperm, thus affecting the chances of pregnancy. (2) Cervical factors: cervical stenosis, polyp, tumor, adhesion, etc. Can affect sperm passage; Cervical erosion, its inflammatory exudate has spermicidal effect; Anti-sperm antibody exists in cervical mucus, which is not conducive to sperm infiltration into cervical canal or makes sperm completely incapacitated. It is worth noting that cervical adhesion caused by induced abortion of unmarried pregnant women is more likely to cause this serious complication, especially in repeated abortion, which keeps sperm out of the cervix. Congenital abnormality of cervical canal is often accompanied by abnormal menstruation or dysmenorrhea, and girls will go to the hospital for examination after menarche. Cervicitis caused by Neisseria gonorrhoeae often leads to atresia or stenosis of cervical canal through sexual infection. Relaxation of cervical internal orifice is one of the common causes of infertility caused by habitual late abortion. When the pregnancy month increases and the weight of the fetal sac increases beyond the capacity of the cervical canal, the cervical canal expands, the fetal sac bulges and breaks water, and the fetus and placenta are discharged one after another, which often occurs after 3 months of pregnancy. (3) Uterine factors Congenital hypoplasia, immature uterus and solid uterus without uterine cavity will all affect women's fertility. Uterine retroflexion or severe retroflexion, endometrial inflammation and intrauterine adhesions are all causes of infertility. About 75% of patients with endometriosis have a history of infertility, which is because it can cause posterior adhesion of uterus, poor mobility and tubal adhesion, resulting in reduced peristalsis. (4) Fallopian tube factor: the fallopian tube is too long or narrow, and tubal inflammation causes lumen occlusion, water accumulation or adhesion, which will hinder the operation of sperm, eggs or fertilized eggs. Tubal diseases can account for 25% of female infertility, which is an important cause of infertility. Inflammatory diseases include tuberculosis, endometriosis, trichomoniasis, gonorrhea and other pathogenic infections. Blocked fallopian tubes can be recanalized by liquid drainage and microsurgical plastic surgery, and patients can also get pregnant opportunities through in vitro fertilization and embryo transfer.