Routine procedures of infertility treatment

  Infertility has a high incidence and is a serious factor of family instability, and infertile couples are eager to seek treatment. It is often easy for couples to “seek medical help when they are sick” and be confused by some irresponsible doctors who make a big fuss about “secret formula” and “experimental formula”. This not only causes financial losses, but also delays the best time for treatment.  The routine treatment process of infertility is introduced as follows: I. Male factor: Whether it is primary infertility or secondary infertility, the first factor to be ruled out is the male factor, because the male examination is painless and costs less money.  Semen analysis is the simplest and most useful test, requiring 3 to 7 days without sexual intercourse masturbation to take sperm for laboratory tests, observing indicators such as sperm discharge, liquefaction time, sperm density, activity percentage, malformation rate and fructose content.  The semen anti-sperm antibodies determination is also a simple and easy and necessary test, Chinese medicine in the treatment of anti-sperm antibodies positive with very good results.  The most common ones are uterine tubal adhesion infertility, ovulation disorder infertility and immune infertility, etc.  1. Uterine tubal factors: Hysterosalpingography is the most common and necessary test, which is required to be performed 3-7 days after menstruation. It can clearly reflect the condition of the uterine cavity and fallopian tubes, such as whether there are uterine malformations, adhesions and the degree of adhesions. Severe uterine adhesions require adhesion separation with manual cycle and herbal treatment.  Through hysterosalpingography, we can also find out whether the fallopian tubes are patent and whether there is tubal distortion, uplift, or fluid accumulation, and if there is tubal obstruction, the site of obstruction can be clearly shown, providing a basis for clinical treatment. For less serious tubal obstruction, we have more successful experience and efficacy in using Chinese herbal medicine. For angular tubal obstruction (severe), interventional tubal intubation with herbal medicine is usually used, while for severe tubal effusion, herbal medicine is used with laparoscopic tubal cisternostomy for evacuation. The purpose of surgery is to shorten the course of treatment, while the application of herbal medicine can prevent re-adhesion after surgery.  Hysteroscopy: required to be performed 3-7 days after menstruation, is a minor outpatient procedure and usually does not require hospitalization. It can detect the presence of: uterine longitudinal septum, uterine adhesions, endometrial polyps and submucosal fibroids, and treat the above problems.  2. Ovulation disorders: Ovulation disorders are also more common in clinical practice. Ultrasound monitoring of follicular development has the advantages of being intuitive, convenient and painless. If the menstrual cycle is 28 days, it is required to start monitoring on the 12th day of menstruation. Generally speaking, it is normal for the follicle to grow 0.2mm per day, and a follicle of about 20mm2 is a mature follicle. The ultrasound report generally measures two diameter lines, such as: 20×19mm2, and the difference between these two numbers is considered as a round well-developed follicle within 0.2mm. Importantly, another ovulation abnormality can be found during ultrasound monitoring, which is medically known as “follicular luteinization without rupture”, commonly known as “buried eggs alive”, which is also a cause of infertility.  There are many specific causes of abnormal follicular development, and it is important to clarify the cause. The random application of clomiphene is not advisable, as it not only has a low ovulation success rate and an even lower pregnancy rate, but also tends to cause excessive ovarian depletion. For example, hyperprolactinemia, premature ovarian failure, and ovulation disorders characterized by hyperandrogenism and insulin resistance, must be given pre-treatment for the cause. 3. Western medical treatment is usually based on prednisone or dexamethasone, enterolysis, aspirin, low molecular heparin, leukocyte immunotherapy, etc. Traditional Chinese medicine also has greater advantages in the treatment of this type of infertility, and the main treatment is to “nourish the kidneys and clear heat, activate blood circulation and remove blood stasis”.  In addition, there are some unexplained causes of infertility, which need to be analyzed for different patients.  All in all, we hope that all infertility patients will be treated with a peaceful mind and scientific attitude, and with our joint efforts, our wishes will come true soon!