Some general knowledge in infertility treatment

  Human society to this day relies first and foremost on its own reproductive capacity. The significance of reproduction then lies in the continuation of a person’s life, the longevity of a race and the history of humanity as a whole. But human reproduction is often plagued by reproductive capacity. People who are unable to produce offspring often find it difficult to maintain physical and mental health, and families without children find it difficult to maintain harmony and warmth. Moreover, with the development of society, the combined effect of environmental and psychological factors has led to a gradual decline in human reproductive capacity. 10-15% of couples of childbearing age have infertility problems, making infertility an important medical and social problem worldwide. Addressing infertility and promoting birth control are two complementary aspects of China’s family planning policy. In reality, the majority of people suffering from infertility are often anxious and bewildered to seek medical help, and the infertility doctors in primary hospitals are often at their wits’ end when the patients are not cured for a long time. How to treat infertility and get twice the result with half the effort?  1, the patient should have a preliminary understanding of the causes of infertility, establish the correct concept of diagnosis and treatment As the saying goes, “it is difficult to get a child with anxiety”, that is, the more anxious the more difficult it is to get pregnant, belongs to the category of psychological infertility. The patient should try to face the reality of infertility calmly, and then actively treat it. The reason for infertility will always be implemented to one or both of the couple, but the creation of new life is, after all, the matter of both sides, only together to produce the crystallization of love, so do not blame each other, that will make married life worse. If you have a normal sexual life after marriage without contraception for one year or more without pregnancy is defined as infertility, so patients should reflect on their own sexual life, if often separated, too frequent or rare sex, the woman immediately after sex to wash, etc., can affect conception; irregular menstruation more endocrine abnormalities and ovarian ovulation disorders; dysmenorrhea should pay attention to the presence of endometriosis and pelvic inflammatory disease, these diseases In cases of dysmenorrhea, attention should be paid to endometriosis and pelvic inflammatory disease, which can lead to tubal incompetence, and the former can also lead to infertility due to the effect on egg quality, sperm fertilization and fertilized egg implantation. If you have a history of miscarriage and pelvic and abdominal surgery, you should pay attention to the patency of the fallopian tubes and the presence of pelvic adhesion.  One of the misconceptions is the frequent change of medical institutions. The treatment of infertility is the most comprehensive, systematic, in-depth and continuous treatment principles, the kind of superficial, yet to see the effect of treatment and change the hospital to seek treatment way of the people and hurt. The proper way is to find a hospital with a high level of medical care or even a doctor that you can trust to develop a systematic and individualized treatment plan for your case. The four necessary conditions for pregnancy are normal uterine development, open fallopian tubes, good ovulation function and normal semen of the male partner, and they must be present at the same time over a period of time in order to be sufficient for pregnancy. Many patients have had tubal lavage in a hospital a year ago, had their semen checked in another hospital two years ago, and had their ovulation measured in another hospital three months ago, all with normal results, but now they still come to the clinic with infertility. Sometimes the original results are found to have changed.  The second misconception is that irregular menstruation means applying artificial cycle therapy of estrogen and progestin. I have come across four strikingly similar cases, all around 30 years old, all with endometrial cancer and all having undergone extensive hysterectomy. Their medical histories were also strikingly similar: they had been infertile for many years, had sporadic menstruation, and had been using hexestrol and progesterone for years to maintain their menstruation. The number of patients with varying degrees of endometrial hyperplasia after the use of artificial cycles is even greater, and the end point of the hyperplasia is cancer. The estrogens used in the artificial cycle (hexestrol, Glaxo, Bemelia, etc.) are the main culprits of hyperplasia, especially hexestrol, which has long lost its reputation as a “cheap and good” drug because of its obvious side effects. In case of polycystic ovary syndrome, Dain 35 can be used to adjust menstruation and regulate endocrine secretion, which is helpful for later ovulation treatment; in case of hyperprolactinemia, bromocriptine should be used; in case of abnormal thyroid function (hyper or hypo), this cause should be treated; only low ovarian function is an indication for long-term supplementation. Only low ovarian function is an indication for long-term estrogen supplementation. As you can see, menstrual irregularities are far from being dealt with by an artificial cycle. Even if artificial cycles are used, the endometrial and mammary conditions must be closely monitored, applied in a course of treatment, and the drug dose adjusted. Avoid medical endometrial hyperplasia and other diseases, should cause both doctors and patients to pay great attention.  Patients should also be aware of the means of infertility diagnosis and treatment. If tubal lavage or imaging suggests tubal obstruction, hysteroscopic evacuation or laparoscopic molding is feasible or IVF can be performed directly to help pregnancy; ultrasound can be used to continuously measure ovulation, endocrine determination can help diagnose the cause of menstrual irregularities and assess ovarian ovulation ability, and if ovulation is obstructed, there are various drugs and techniques to help ovulation; the sperm growth cycle is nearly three months, so drug therapy should be adequate. Therefore, medication should be given for a full course of treatment, not to be exposed to cold, sperm growth likes cold and avoid heat, sauna should be avoided, and sperm killers such as tobacco and alcohol should be avoided; for male sexual dysfunction and oligozoospermia, artificial insemination can be used to help conception, but the female must have open fallopian tubes and be able to ovulate; as for tubal obstruction, severe oligozoospermia and long-standing infertility, IVF technology can be used to help conception, including medication to promote follicle This technique has helped many patients with refractory infertility to realize their dream of becoming parents. However, the success rate is only about 40% worldwide and is not suitable for patients with poor ovarian function or uterine adhesions.  Infertility diagnosis and treatment is destined to be a systematic and sometimes long process. The patient’s awareness of infertility can determine the degree of sincere and harmonious cooperation with the doctor, which directly affects the outcome of treatment.