(a) Mastering some scientific knowledge of infertility
Careful and smart patients should learn to master some scientific knowledge of infertility and use this knowledge to identify real and fake hospitals and real and fake doctors to take the initiative in the treatment process. Modern medicine has studied infertility quite thoroughly, and experts have discovered several factors that lead to infertility, the causes of infertility are complex and relatively difficult to treat, but not incurable, the key is to clarify the causes and treat the symptoms. In reality, there are many infertile couples who go around seeking medical help and medicine, but they do not get anywhere. The first thing to do is to identify the cause of infertility.
1, the fallopian tube factor.
The clinical data shows that infertility caused by obstruction of the fallopian tube accounts for about 40% of clinical infertility, the fallopian tube is responsible for transporting eggs from the ovaries to the uterus, damage to the fallopian tube will prevent sperm and eggs from contacting and combining. Repeated episodes of pelvic inflammatory disease, endometriosis, and scarring after pelvic surgery can cause damage to the fallopian tubes.
2. Ovulation factors.
The corresponding hormone level is abnormal, causing abnormal ovulation in which the ovaries cannot release mature egg cells and the endometrium cannot thicken normally.
3, Male factors.
Azoospermia, oligospermia, weak spermatozoa, dead spermatozoa, deformed spermatozoa, and seminal fluid indigestion, etc.
(2) What tests should be done for infertility?
Fifty percent of infertility patients are blinded by the examination. Couples under 35 years of age of the female partner should go to a qualified medical institution if they are still not pregnant after one year without contraceptive measures and regular sexual life, and if the female partner is older than 35 years of age and has not been pregnant for six months, and at the same time, they should know the correct examination items. The doctor needs to clarify, through the examination, whether it is a problem with the sperm or the egg or the combination of the egg and sperm, and also to understand whether the fertilized egg can be successfully implanted and maintain its growth.
1. Semen examination.
The husband’s semen collection should be done in 3-7 days without sex, and semen should be collected by the in vitro ejaculation method instead of using condoms. Semen examination can help to understand the number, liquefaction, morphology and motility of the male partner’s sperm, and can help to determine or exclude most male causes.
2. Tubal patency examination.
Tubal lavage or hysterosalpingogram with iodine oil: usually can be performed on an outpatient basis and can help to understand the morphology of the uterine cavity, the patency of the fallopian tubes and the site of tubal obstruction, etc.
3. Examination for the presence or absence of ovulation.
There are many ways to determine whether or not the woman is ovulating, for example, these ovulation abnormalities can be detected through ultrasound as well as blood tests for hormone levels. The most common and accurate method is dynamic monitoring of follicle development and rupture time under ultrasound, which usually starts from day 11 of the menstrual cycle under normal menstrual cycle, this method is non-invasive and easy to perform.
(c) Precautions during consultation
Medicine is a science, and the connotation of science should include: classification, quantification, detectability, and repeatability. The treatment of infertility should also abide by scientific rules, classify infertility, make a clear diagnosis, and then treat the symptoms. In the process of treatment, we should use the treatment methods that have been repeatedly proven to be effective in clinical practice, and only in this way can we say that the scientific treatment methods are observed.
If your doctor cannot confirm the diagnosis and only treats you with the attitude of “try to cure, and then change the method if it doesn’t work”, he will most likely not help to treat your disease. We know that “if the diagnosis is not clear, the medicine does not work”, so you should ask your doctor to finally give you a clear diagnosis of the disease.
2, refuse to over-services some hospitals to patients, first prescribed a bunch of tests, a lot of persuasion to buy drugs, and even a doctor a few “guide”, to prevent communication between patients. At this time you should be calm, in the absence of a clear diagnosis to clarify the cause of the premise do not accept the so-called treatment.
3. Ask for an informed choice for each cause, there are generally several treatment options available. Patients should ask their doctors to provide all feasible treatment options in order to choose the most effective one. Some doctors only recommend what they are good at or what is the most economically efficient option, or even make up some so-called advanced therapies just to cheat money.