I. Definition
(a) Infertility is a condition in which a couple of childbearing age live together for a long time after marriage, have a normal sexual life, and do not use contraception, but still do not become pregnant after a longer period of time.
(b) The similarities and differences between infertility and sterility.
Infertility refers to a couple with normal sexual life living together for a long period of time and failing to conceive, while sterility refers to those who have had pregnancies but have all miscarried, prematurely or stillborn, thus failing to obtain a live baby.
(C) Duration of infertility.
II. Classification
(i) Classification according to infertility history.
(i) Primary infertility and secondary infertility.
(ii) Classification according to the possibility of pregnancy after treatment.
(i) Absolute infertility and relative infertility.
(3) Classification according to the duration of the cause of infertility.
(c) Lifetime infertility and temporary infertility.
(iv) Classification according to whether the cause of infertility is in the male or female partner.
(d) male infertility and female infertility.
(v) Classification according to the nature of the causes of infertility
1. physiological infertility and pathological infertility
2. organic infertility and functional infertility
3. congenital infertility and acquired infertility.
(6) Classification according to the lesion organ causing infertility.
1. local causes: lesions of the uterus, fallopian tubes, ovaries and adjacent organs.
2. Systemic causes: mental and neurological disorders, endocrine disorders and nutritional and metabolic abnormalities.
Incidence
Approximately 8-17% of women of childbearing age, with an average of 10%.
IV. Examination procedures
(A) Both sides first ask detailed medical history
1.Marriage and childbearing history.
2, history of menstruation.
3, history of sexual life and sexual function.
4.past history
5. history of past diagnosis and treatment of infertility
6. history of disease course.
7. occupation, family and hobbies.
(II) General examination of both parties
(C) Female party examination
1.Gynecological routine examination.
2. vaginal cervical examination.
(1) Exclusion of organic lesions.
(2) Microbiological examination.
3.Ovarian function measurement.
(1) BBT.
(2) cervical mucus.
(3) Ultrasound.
(4) endocrine testing.
4.Cervical mucus and sperm compatibility test.
5.Uterine cause examination.
(1) diagnostic scraping.
(2) hysteroscopy.
(3) angiography.
6.Fallopian tube examination.
(1) lumpectomy.
(2) imaging.
7.Pelvic cause examination.
8.Immunological examination.
9.Chromosome examination.
Male side examination
1.External genital examination.
2.Semen examination.
(1) Routine.
(2) Culture.
(3) Penetration test.
3.Prostate examination.
4.Immunological examination.
5.Chromosome examination.
6.Vasectomy.
7, testicular biopsy.
8.Endocrine examination.
V. Treatment
(A) General treatment
1, mastering ovulatory intercourse.
(1) BBT measurement.
(2) Ultrasound monitoring of follicles.
(3) cervical scoring.
2, pay attention to sexual lifestyle.
(1) Elevate the hips in posterior uterus.
(2) Avoid emotional changes.
(3) Control the number of sexual intercourse.
(II) Etiological treatment
1, treatment of organic lesions.
(1) tumor.
(2) vaginal and uterine transverse septum, longitudinal septum.
(3) inflammation of the genitalia.
(4) Stenosis of the cervical opening.
2. Induction of ovulation.
(1) C.C.
(2) TMX.
(3) HCG.
(4) HMG.
(5) Bromocriptine.
3. Promotion or supplementation of luteal function.
HCG and progesterone.
4. treatment of tubal obstruction.
(1) lavage: including general lavage and hysteroscopic lavage.
(2) tubal ostomy.
5. Chinese medicine is very effective in treating various causes of infertility.
(1) the method of regulating the seeds of menstruation
(2) the method of enucleation and elimination of symptoms
(3) menstrual cycle therapy.
6. male treatment.
(1) oligospermia, weak semen.
(2) non-liquefaction or increased viscosity of semen.
(3) inflammation of the genital tract.
(4) azoospermia and severe oligospermia.
7. Assisted reproductive technology.
(1) artificial insemination.
(2) in vitro fertilization and embryo transfer (IVF).
VI. Prevention
(a) Avoid premature sexual intercourse
1.Reducing damage to the female reproductive tract.
2.Reduce reproductive tract infection.
(B) Avoid abortion
1, abortion on the uterus, fallopian tubes, endocrine adverse effects.
2.Inappropriate contraceptive methods are likely to cause adverse consequences.
(C) pay attention to the impact of the environment on the body
1.Living environment.
2, work pressure.
3.Eating habits.
4.Lifestyle.
(D) choose the best time to have children
1.Age.
2.Month.
3.Ovulation period.
Refer to the content of the study class to help you understand infertility