Treating “infertility” as a disease Most people, including many doctors, regard infertility as a disease and even write “infertility”, “primary infertility” and “secondary infertility” in the diagnosis. “secondary infertility”, “male infertility”, “female infertility” and so on. Since it is a disease, there are inevitably drugs for treating it, and thus many methods and drugs for treating infertility have been derived, such as various kinds of pregnancy pills, seed pills, birth control pills and so-called ancestral recipes for regulating qi and blood. Many doctors take advantage of this misconception to promote various herbal medicines and partial prescriptions to deceive patients and obtain money. Modern medicine has confirmed that infertility is not a disease, but a common clinical manifestation of more than 150 diseases. The causes of infertility include various diseases of the systemic and reproductive systems of both men and women. Female factors include: systemic, ovarian, fallopian tube, uterine cavity, cervical and vaginal diseases. Male factors include: systemic, semen abnormalities, vas deferens obstruction, genital malformations and other diseases. There are also factors in both men and women such as lack of sexual knowledge and immune factors. Thus, it seems that there is no panacea for infertility. To treat infertility, we can only rely on advanced modern medicine to accurately analyze more than 150 kinds of etiological factors and implement personalized treatment plans under the standard according to the etiological factors, and infertility will cease to exist after the original disease is cured. Infertility patients blindly apply Chinese medicine for treatment Almost 100% of infertility couples in China have been treated with Chinese medicine, and many medical institutions also carry out infertility clinics based on Chinese medicine. However, no scientific studies on the treatment of infertility with TCM have ever been seen in international professional journals, nor have we seen any reports on the success rate of TCM in treating infertility. If the success rate of TCM in treating infertility is really as high as some hospitals claim, then why doesn’t he apply for the Nobel Prize in Medicine or a patent for the technology? Scientific proof: Chinese medicine is ineffective in treating more than 95% of infertility. Infertility is not a disease, but a common clinical manifestation of 150 diseases in both men and women, the common result of which is the absence of first-born children. Among the 150 causes, more than 95% of the lesions are organic lesions, for example, the main causes of female infertility include: tubal obstruction, ectopic pregnancy, polycystic ovary syndrome, endometriosis, uterine fibroids, pelvic adhesions, etc. These diseases can only be resolved through hysterolaparoscopic surgery to resolve the primary cause and restore normal anatomical and physiological functions before normal pregnancy and delivery is possible. TCM lacks effective diagnostic techniques. It is impossible to make an accurate diagnosis of more than 150 diseases in both men and women by pulse taking, simple ultrasound and semen analysis alone. TCM also lacks effective treatment tools. In the absence of a clear diagnosis, TCM’s treatment of symptoms can only play a role in regulating certain functional diseases (e.g. psycho-psychological factors), but is ineffective for organic diseases. If TCM is ineffective, why do so many TCM-based infertility medical institutions exist? Why do so many patients still believe in TCM? This only reflects the confusion of the existing infertility medical market in China and the urgent need to popularize the knowledge of scientific infertility diagnosis and treatment. Infertility is a difficult disease in the traditional sense, with a long treatment period and the efficacy cannot be judged immediately, coupled with the low cost and non-invasive treatment of TCM, which is easily accepted by patients. Patients with infertility should follow the principles of scientific treatment of infertility, do not blindly take Chinese medicine, but first confirm the diagnosis and then treat it, and choose different measures to help pregnancy according to different types of diseases. In vitro fertilization (IVF) is an in vitro fertilization technique in which eggs and sperm are removed and fertilized outside the body, developed into embryos and then implanted back into the mother’s uterus for conception. It is a milestone in assisted conception technology and is mainly used for infertility caused by absolute tubal failure and certain pelvic factors. The success rate of IVF is low, with only about 50% success rate for three consecutive times; the cost is high, with each treatment costing 10,000 to 20,000; and it cannot treat the original disease. Therefore, IVF is not the technique of choice for treating most infertility. The indications for IVF are very limited, and even if the fallopian tubes are not working, IVF cannot be the first choice. Most tubal blockages can be unblocked by dynamic tubal iodine angiography, interventional treatment, hysteroscopy and laparoscopy, and the indications for IVF are less than 10% of infertility. There is a misuse of IVF in China, and more than 210 existing pregnancy centers are focused on IVF technology. Some institutions do not strictly control the indications and contraindications, and for various purposes recommend the use of expensive IVF with low cure rates for most patients, and even perform IVF for patients with normal fallopian tubes and normal pregnancy, and “single sperm injection” for patients with normal male semen. The most advanced is not necessarily the best. Why do you want to use “cephalosporin” when you can use “penicillin”? The majority of young people ignore contraception, resulting in multiple abortions. The most serious complications are infertility, habitual abortion and ectopic pregnancy. The mechanism of infertility and ectopic pregnancy caused by abortion is as follows: during abortion, due to mechanical or pharmacological stimulation, the smooth muscles of the uterus contract tamely and the uterine cavity contents move not only toward the opening of the uterus, but also into the open inner mouth of the fallopian tube, and the tissue entering the tube is easily retained and mechanized. If the fallopian tube is completely blocked, infertility will occur; if it is semi-obstructed, the fallopian tube will be open but not smooth, and ectopic pregnancy will easily occur when conceiving again. Abortion is also a major factor in causing habitual abortion. The embryonic tissue containing the husband’s genes enters the mother’s body through the open endometrial vein during abortion, and specific anti-embryonic antibodies are produced in the mother’s body. The antibodies act on the immune barrier of the placenta during re-pregnancy, stopping the development of the embryo and causing repeated miscarriages in clinical practice. Therefore, women with fertility requirements should be cautious about abortion, and if they are inadvertently pregnant, they should use the new generation abortion procedure – hysteroscopic embryo retrieval – to avoid possible complications, which is the preferred procedure for women with fertility requirements because it can retrieve embryos directly without scraping the uterus, is painless, takes only 10 minutes, and has a quick recovery. Many patients take fetal preservation as the most effective measure to treat habitual miscarriage, and obstetricians and gynecologists are also commonly blindly treating pre-eclampsia, using various fetal pills and fetal dispersion, and indiscriminately using progesterone, vitamin E, chorionic gonadotropin and so on. However, long-term clinical practice proves that these treatments have no obvious effect. Blindly preserving the fetus is actually a common misunderstanding in treatment caused by the medical profession’s unclear understanding of the causes of habitual abortion. There are as many as 43 causes of habitual abortion, including immune factors, genetic factors, endocrine factors, anatomical factors, infection factors, environmental factors, etc. Therefore, the treatment methods for different causes should be different. For example, if the miscarriage is caused by longitudinal diaphragm or uterine polyp, hysteroscopic surgery must be done to remove the diaphragm and polyp and improve the uterine environment before the pregnancy and delivery can be successfully carried out; if the miscarriage is caused by immune factors, immunotherapy must be given to the pregnant woman to ensure that there is no more miscarriage. If the miscarriage is caused by genetic mutation, it is better not to keep the baby, as it is a burden to the family and society if a child with congenital defects is born. In addition, there are misconceptions in the diagnosis of habitual miscarriage. Some units test for various antibodies (anti-sperm, anti-endometrial, cardiolipin, etc.), chromosomes and viruses, and other so-called miscarriage series. If autosomal abnormalities are sufficient for miscarriage, where do so many autosomal abnormalities come from in the world? This shows that all these tests are unnecessary! Treatment of ectopic pregnancy by removing the fallopian tube Ectopic pregnancy, also known as ectopic pregnancy, refers to the development of a fertilized egg in a location other than the uterine cavity, and more than 95% of ectopic pregnancies are tubal pregnancies. More than 95% of ectopic pregnancies are tubal pregnancies. It is difficult to sustain a fertilized egg in the fallopian tube, and within 1-2 months after menopause, the growing embryo will burst the fallopian tube, causing hemorrhage, shock, and even life-threatening. Traditional surgery for ectopic pregnancy is mostly open and almost all of the tubes are removed, which treats the ectopic pregnancy but greatly reduces the chance of fertility. The minimally invasive techniques developed in modern gynecology can not only treat ectopic pregnancy through laparoscopy, but also preserve the fertility of patients after surgery. Therefore, laparoscopic tubal windowing should be performed for patients with fertility requirements. The operation is less traumatic and the postoperative recovery is faster, which not only reduces the patient’s pain and preserves the anatomical and physiological structure of the fallopian tube to the maximum extent, but also reduces the trauma during the operation and greatly shortens the hospital stay, and is the preferred procedure for the treatment of ectopic pregnancy. Drug therapy can be considered for patients with early unruptured and no internal bleeding who do not have fertility requirements. However, the biggest pitfall of drug treatment is that it kills the embryo at the site of implantation and then mechanizes it, which will certainly cause tubal obstruction in case of a tubal pregnancy. Infertility is considered unpreventable Some infertility can be prevented, such as medical infertility. Medically induced infertility is infertility caused by improper or excessive treatment and accounts for about 40% of infertility. The main causes of medically induced infertility are, in order: medication abortion, abortion, ectopic pregnancy treatment, open heart surgery, inappropriate superovulation, cervical irons, and untreated pelvic infections. Preventive measures for infertility include: 1. abortion before childbirth; 2. first pregnancy and delivery can prevent immune early secondary and blood type incompatibility late habitual abortion; 3. ectopic pregnancy with interventional or endoscopic surgery as far as possible to preserve the fallopian tube and reproductive function; 4. avoid repeated uterine operations and intrauterine devices; 5. physical therapy for simple cervical erosion is not advisable to prevent cervical canal adhesion; 6. cautious use of ultra Ovulation, do not use oral ovulation pills alone to cherish oocytes; 7. Perform endoscopic surgery for pelvic and abdominal diseases to prevent pelvic adhesions; 8. Prevent and control pelvic genital infections to prevent pelvic adhesions; 9. If there are signs of infertility, the diagnosis should be confirmed before treatment to avoid over-treatment. Lack of knowledge of science and experience, blindly seeking medical treatment Medicine is a science, and the connotation of science should include: classification, quantification, detectability and repeatability. The treatment of infertility should also comply with scientific rules, classify infertility, make a clear diagnosis, and then treat the symptoms. In the process of treatment, various changes in the organism should be tested, accurate data should be obtained, and treatments that have been repeatedly proven to be effective in clinical practice should be used, and only then can we say that scientific treatments are observed. At present, the medical market of infertility in China is extremely confusing, and there is a lack of authoritative and professional infertility treatment institutions in China, and many doctors take the opportunity to use unscientific treatment methods to cheat patients to obtain money; on the other hand, patients are blind in the process of seeking medical treatment and cannot scientifically identify the real and fake doctors in the field of infertility. Careful and smart patients should learn to master the scientific knowledge of infertility diagnosis and treatment, and use this knowledge to identify real and fake hospitals and real and fake doctors to take the initiative in the treatment process. Simply put, there are four strategies: 1. Ask your doctor to confirm the diagnosis. In other words, ask your doctor to finally give you a clear diagnosis of your disease. Because “infertility” is not a disease name, but a common clinical manifestation caused by more than 150 kinds of diseases, if your doctor can not confirm the diagnosis, but only with the attitude of “try to cure, not then change the method” to treat you, then he is most likely to treat your If your doctor can not diagnose, but only with the attitude of “try to cure, can not then change the method” to treat you, then he most likely to treat your disease without any help, on the contrary, will also delay the treatment. 2, refuse excessive service. Some hospitals to patients, in the absence of a clear cause of the case, first prescribed a bunch of drugs and tests, a lot of persuasion you to buy, and even a doctor a few “guide”, to prevent communication between patients. You should be calm, in the absence of a clear diagnosis and clear cause of the premise not to accept the so-called treatment. 3.Require informed choice. For each cause of disease, there are usually several treatment options to choose from. Patients should ask their doctors to provide all feasible treatment options in order to choose the simplest and most effective one. Some doctors only recommend what they are good at or the most economically efficient program, or even make up some so-called advanced therapy, such as “gold standard” therapy, just to cheat money. 4. Ask for testing standards and images of the treatment process. If your doctor just recommended a certain drug, but did not clearly tell you the composition of the drugs provided and manufacturers, saying what is the “secret recipe” or “confidential”, must be fake; if the implementation of surgery must provide CD or video, or prove that it can not be detected or Repeat, there must be “fishy” operation in the dark. If the procedure is performed, a CD or video must be provided. Infertility can be treated by menstrual regulation Many clinical conditions that cause infertility do manifest themselves as menstrual disorders, such as polycystic ovary syndrome, which is characterized by sporadic menstruation (only a few times a year), obesity, hirsutism, difficulty in conceiving, miscarriage, etc.; uterine polyps or fibroids that cause prolonged periods (more than 7 days) and increased menstrual flow (more than previous levels); and uterine adhesions and hypopituitarism that can lead to decreased menstrual flow. Many doctors in the clinic lack knowledge of these diseases that cause the appearance of menstrual disorders and will only use artificial cycles or TCM herbs to regulate menstruation or promote ovulation, so that many patients not only lose many valuable reproductive cells, but also miss the best time for treatment. According to the scientific method, if ovarian perforation or wedge resection is performed laparoscopically for polycystic ovary syndrome, the menstrual cycle will soon return to normal and also normal pregnancy; after uterine polyps are removed by hysteroscopy, uterine fibroids are removed and uterine adhesions are loosened by hysteroscopy, both menstruation and fertility can be immediately restored to normal without any drug assistance. Only hypopituitarism is correctly treated by applying artificial cycles for menstrual regulation and ovulation promotion. Treating pelvic adhesions as pelvic inflammatory disease Most women with infertility for which no obvious cause can be found have been treated with useless “anti-inflammatory drugs” or “blood circulation”. The concept of pelvic inflammatory disease is very vague to some doctors and patients, many of whom are unable to define and classify pelvic inflammatory disease at all, and often treat pelvic adhesions as pelvic inflammatory disease. Pelvic inflammatory disease is an inflammatory disease in which pathogenic microorganisms infect the pelvic organs, and since it is an inflammatory disease there is bound to be fever, pain, and limited activity. In fact, the existence of inflammation can be ruled out by the fact that there is almost no fever in infertility patients, and people mostly treat the sequelae of pelvic inflammatory disease – pelvic adhesions as pelvic inflammatory disease, which is like a “knife wound” after healing, people still call it a “knife wound”. This is like a “knife wound” that heals and is called a “knife wound”, but there is no point in taking anti-inflammatory drugs to stop the bleeding at this time. Pelvic inflammatory disease can be caused by a variety of pathogenic microorganisms, such as gonorrhea, septic bacteria, tuberculosis and so on. But the sequelae they cause, are adhesions infertility, when the inflammation has long ceased to exist, leaving only the adhesions scar left by the destruction (bite) of pathogenic microorganisms, want to cure infertility can only be to remove these adhesions and scar, treatment of adhesions laparoscopy is the most effective means of treatment. The postoperative outcome varies according to the degree of adhesions, with a high success rate in the case of membranous adhesions and a poorer outcome in the case of connective tissue and muscular adhesions. The diagnosis depends mainly on dynamic serial hysterosalpingography. Dynamic observation of the angiogram will reveal a deviated uterus to one side, poor mobility, uplifted tubes, incompetence or poor diffusion of iodine oil, and oil over water signs. The diagnosis cannot be confirmed by traditional imaging and lavage. Take lavage as an example: because it is a “blind lavage”, it is not possible to accurately determine which side is open if it is open; if it is not open, it is not possible to know the site and degree of obstruction; and it is not possible to understand the pelvic condition.