Fertility difficulties are becoming more and more common due to the effects of environmental pollution, mental stress, poor living habits and some medical factors. But fertility difficulties are not a simple problem, it involves many aspects of society, marriage, family, emotions, etc., and brings great physical and mental pain to women. Besides the external factors that are difficult to change by personal power such as the environment, couples of childbearing age should look for the causes in their own pregnancy preparation process and exclude one by one the “seeds” (eggs and sperm), “channels” (fallopian tubes), “vegetable fields The first obstacle: the “seed” (egg and sperm), the “channel” (fallopian tube) and the “vegetable field” (uterus), etc., so that the “good pregnancy” can come soon. The first obstacle: “seed” problems, male sperm “not strong” female menstruation “not regulated” Couples who are always pregnant, many people will have prejudice, that the problem lies in the woman. In fact, in order to conceive a child, the first male sperm should be strong enough, not weak sperm, not to mention the “stump”. The “size” of the sperm, the process of going through the fallopian tube to find an egg, is like a 25,000-mile journey. There must be enough of the “best and brightest” to reach the fallopian tube to meet the egg and finally have a chance to conceive. Therefore, in case of infertility, the husband is also responsible for the problem and it is recommended that the sperm problem should be investigated and treated as soon as possible. We should not narrowly understand that women have to have menstruation every month. It doesn’t matter if the period is regular, once a month, once every two months or once every three months, as long as the interval is regular and she can ovulate normally. For example, some women have their periods once every two and a half months, which is a few times less than others each year, but as long as they are regular and ovulate normally, there is no need to worry too much. However, for some patients with polycystic ovary syndrome who have ovulation disorders, they should seek early medical attention to promote ovulation through medication. In short, in order to get pregnant, the “seed” is the first thing that both couples need to address first, to ensure that the wife has normal ovulation and the husband has normal sperm. The second obstacle: poor fallopian tubes, sperm and eggs “dating channel” is blocked Solve the “seed” problem, but also to ensure that the sperm and eggs “dating channel” is smooth. This channel is the female fallopian tube. A blocked fallopian tube, whether at the exit or entrance, makes pregnancy impossible. From the 1970s and 1980s to the early 1990s, when medical conditions were far less than today, tubal lavage was used as a means of checking for tubal obstruction. Doctors relied on their own judgment when performing the lavage, and the rate of misdiagnosis was not low. Moreover, it is difficult to determine the site and nature of obstruction and its severity, and may increase the chance of pelvic infection and endometriosis, which is now gradually eliminated in some large hospitals. Nowadays, tubal imaging, laparoscopy and hysteroscopy have been widely used in clinical practice, which can assist in the examination and treatment of fallopian tubes more accurately. In some small hospitals where tuboscopy, laparoscopy and hysteroscopy are not popular, it is not a big problem to do a preliminary screening for obstruction occasionally if necessary, but do not do it repeatedly as a means of treating infertility, otherwise the fallopian tubes will be “very injured”. The third obstacle: the “vegetable patch”. The third obstacle: the “vegetable patch” difficult to breed. The “channel” is open, the seeds have to be planted in the uterus on this ‘vegetable patch’. Problems with the vegetable patch can also lead to infertility.” Whether it is to do a medical abortion, abortion, cleaning surgery, may hurt the uterus this “vegetable patch”, so women of childbearing age who do not intend to have children must do a good job of precautions, do not think that “trapped” can do “painless abortion The “painless abortion” will not be taken seriously, so as not to let the uterus damaged again and again due to ignorance. However, for the “vegetable field” problem, as long as it is not barren to only stone mud and sand, there is a little “dirt” as well as a chance of pregnancy. “The company’s main business is to provide a wide range of products and services to the public. The so-called “uterine cold” refers to the female spleen and kidney Yang deficiency, many infertile women clinically have cold hands and feet just Qi deficiency, the real “Yang deficiency” is actually rare, but often by the “uterine cold” make sperm and eggs difficult to bed. The woman is often fooled by the claim that “uterine cold” makes it difficult for sperm and eggs to lay. The actual fact is that you can find a lot of people who have been in the business for a long time, but you can’t be sure that you’re going to be able to get a good deal on this. The fourth obstacle: psychological anxiety ovulation intercourse into a psychological burden. “Can not conceive a child, many women are very depressed inside.” Many people get care and love from friends and relatives when they are sick, but infertility patients, even if they are loved by others, will have psychological pressure, and even sometimes feel sarcastic, it is difficult to be optimistic. Therefore, to get rid of the infertility problem, it is also crucial to solve the psychological problems and regulate the mindset. Psychological anxiety can also be “contagious” to each other. Many infertile couples in the clinic are so anxious that they have a psychological burden along with the room. I have contacted a couple, after doing various tests to exclude the “seed”, “channel”, “vegetable field” problem, but still delayed pregnancy. After detailed questioning, I found out that after planning to have a baby, the wife started to monitor her ovulation period, thinking that it would be easier to have intercourse at the right time of follicular discharge. The recurring psychological barrier made intercourse much less effective. Knowing this situation, his wife was advised to stop monitoring ovulation, and she got pregnant successfully. Special reminder: endometriosis should be investigated for unexplained infertility “Women who are infertile should be investigated for endometriosis (referred to as ‘endometriosis’) if no problem is found after detailed examination.” Endometriosis refers to the presence of the endometrium outside the body of the uterus. Endometriosis predisposes to pelvic adhesions, which can interfere with ovulation, tubal egg collection and egg transport. The failure of the fallopian tubes to collect and transport eggs in women with endometriosis has been shown to be as high as 64%. Several studies have demonstrated increased peritoneal fluid in women with endometriosis and increased prostaglandins, cytokines and inflammatory factors in the peritoneal fluid, especially the increase in inflammatory factors that can lead to a systemic inflammatory response. Although there are no studies proving a causal relationship between endo and inflammatory response, its effect on the function of eggs, sperm, fertilized eggs and fallopian tubes has been demonstrated. Currently, there are two approaches to the treatment of endometriosis in infertility patients: first, pharmacological treatment, such as combined estrogen and progestin (birth control pills), danazol, and aromatase inhibitors; however, drugs have an inhibitory effect on ovulation and are not conducive to pregnancy. The second is surgical treatment, where laparoscopic excision of the endometriosis lesion can improve the fertility rate. “However, women with fertility requirements for laparoscopic surgery to remove the lesion are advised to seek surgery from a doctor who specializes in infertility.” For women with endometriosis who have fertility requirements, the first purpose of surgery is to solve the problem of difficulty conceiving, and removing the lesion is the second purpose. Of course, the purpose of removing the lesion is also to allow the patient to conceive. However, oncologic surgeons may consider the removal of the lesion as the first “priority” and may even consider sacrificing part of the ovaries during the surgery to achieve this goal. Especially in severe cases of endometriosis (such as a large chocolate cyst), some oncologists tend to strip it clean or even remove the ipsilateral ovary as well. Doctors who specialize in infertility will choose a compromise approach, stripping the lesion with as little injury to the ovary as possible. If the patient is able to conceive after the surgery, it is better to have a second surgery even if the endometriosis recurs in the future than to have too much ovarian damage to conceive.