How does a patient with infertility seek medical attention?

  The definition of infertility in China is: two years after marriage, cohabitation, normal sexual life of the couple, without any contraceptive measures and unable to conceive. Nowadays, the internationally recommended definition is: one year after marriage, cohabitation, normal sexual intercourse, without any contraceptive measures and unable to conceive. According to various surveys, a 24-year-old woman with a normal sexual life in the first month after marriage has a pregnancy rate of 25%, 40% in 5 months, 75% in 8 months, and more than 90% can get pregnant in the first year after marriage. Nowadays, the incidence of infertility is getting higher and higher, so more and more patients are visiting the clinic, and many patients have taken many detours because they don’t know how to visit the clinic, which can be called “laboring and hurting the people”.  Here is a brief introduction of some notes related to infertility consultation: The first time a woman goes to the hospital for a checkup due to infertility should be 3-7 days after her menstrual period is cleared and sexual intercourse is prohibited. It is better to have the husband come with you for semen testing and abstain from sexual intercourse for 3-7 days for semen testing. The first visit to the infertility specialist should be strictly according to the doctor’s appointment, keeping in mind the situation related to her menstrual cycle, such as blood sampling for sex hormones on the 3rd day of menstruation, tubal lavage or imaging on 3-7 days after menstruation, ovulation monitoring on the 8th-10th day of menstruation, diagnostic scraping 3 days before or within 6 hours after menstruation (not routinely used nowadays due to advances in diagnostic techniques). .  Because infertility visits are complicated, patients listen carefully to the doctor’s instructions during the visit and record the relevant visits. Some patients are so nervous during the visit that they keep repeating conditions that are not related to the disease, but the doctor will ask about these conditions if they are related to the disease. In addition to choosing your menstrual cycle, you should also pay attention to the hospital’s working hours such as double holidays and appointment days for special tests. Choosing a good time for consultation can reduce some troubles.  The diagnosis and treatment of the cause of infertility is a very tedious process. You should choose a doctor specialized in infertility and reproductive endocrinology related to a regular large hospital for systematic examination and comprehensive treatment.  Unlike other diseases, infertility is likely to be cured in one visit for inflammatory diseases or tumors in gynecology. However, the diagnosis and treatment of infertility is very systematic, and the ultimate goal of infertility treatment is to produce a healthy child. Repeated visits are needed. Some patients have visited many places and believe in the advertisements and go to the hospital where infertility is treated. They spend a lot of money and have many test reports that have little reference value. Some patients see infertility from their youth to their middle age. The best years of life are consumed in constantly listening to the guidelines of wild advertisements.  It is also common to see infertility patients listening to the promises of so-called “experts” about the success rate of treatment. Some “experts” promise patients a success rate of “95%” or even “95%” without looking at any auxiliary tests or making any medical history during the first visit. The success rate of treatment is “95%”, and even pregnancy within 2-3 months. This gives a boost to patients who have been painfully bouncing around for several years for treatment, and they see new hope (falsely, of course). Patients, unaware of this, are frantically pursuing it. It was like a repeat of the “Zhang Wuben” incident, and later everyone believed in it and lost their senses. There are often inexplicable pseudosciences prevalent in China. In fact, the treatment of any kind of disease, as long as the real experts are not afraid to give any promises. There is always the possibility of accidents in any disease. It’s not that the “experts” are unlikely to have such accidents, it’s that the “experts” are not knowledgeable enough to know that such accidents can happen. Experts who do not dare to give patients a promise of treatment results easily are actually more knowledgeable, rigorous and scientifically reliable.  Patients should believe in science and build up confidence and patience to overcome infertility. With the development of assisted reproduction technology, the success rate of infertility treatment has been increasing, bringing a boon to the majority of infertility couples. If you are in a hurry and seek treatment from charlatan doctors or believe in “ancestral secret recipes”, you will often lose the best treatment opportunity.