What should infertile women check for?

Written by Kang Jian Hua
Reproductive Center
Updated on September 16, 2024
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The examination of infertile women mainly includes the following aspects. First is the physical examination, which covers a general examination and an examination of the internal and external genitalia. Through the physical examination, it can be determined whether the female sexual characteristics are normal and whether there are any abnormalities in the development of the external genitalia. The second type of examination is auxiliary examination, the most common of which are blood tests and ultrasound exams. Blood tests can provide information on whether there is any infection, the type of blood, and the endocrine situation. They can also examine chromosomal conditions. Through ultrasound, it is possible to find out if there are any abnormalities in the uterine adnexa. Additionally, there are some special tests, including ovarian function tests, fallopian tube patency tests, hysteroscopy, laparoscopy, and post-coital tests, among others.

Other Voices

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Written by Zhang Wei Wei
Integrative Medicine
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Is Chinese herbal medicine effective for infertility?

Is Chinese herbal medicine effective for infertility? My answer is definitely yes. Traditional Chinese medicine is a national treasure in our country, and it has good effects on chronic conditions, such as infertility. The main causes of infertility include liver stagnation, blood stasis, phlegm dampness, kidney deficiency, and so on. It’s not only drinking herbal medicine that proves useful for infertility patients. Traditional Chinese medicine also includes other treatments like topical applications, herbal enemas, and hot compresses, providing various effective methods to help patients conceive more quickly. It is important for patients to seek treatment at specialized or official hospitals for effective treatment.

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Written by Li Hui Zhi
Endocrinology
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Does having hypothyroidism mean lifelong infertility?

Having hypothyroidism does not necessarily mean permanent infertility. Hypothyroidism primarily involves reduced secretion of thyroid hormones in the body, leading to slowed metabolism. For women, symptoms such as reduced menstrual flow, amenorrhea, or even infertility may occur. However, if diagnosed with hypothyroidism, it is advisable to visit an endocrinology specialist promptly for thyroid hormone replacement therapy. It is recommended to monitor the Thyroid-Stimulating Hormone (TSH) during treatment; many patients with TSH levels below 2.5 can consider pregnancy. Moreover, it is crucial to continue taking thyroid hormones during pregnancy to avoid affecting the fetus.

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Written by Jia Rui
Obstetrics and Gynecology
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Can cold in the uterus cause infertility?

Cold in the uterus can lead to infertility. It can affect the vitality of sperm and create an environment unsuitable for fetal development. Women with cold in the uterus should avoid getting cold, especially avoid eating cold drinks and cold foods during menstruation and can eat more blood-nourishing foods like donkey-hide gelatin and deer antler glue after menstruation. There are many treatment methods for cold in the uterus, including using Chinese medicine to warm the kidneys and dispel cold, as well as external application of Chinese medicine and acupuncture. During menstruation, patients with cold in the uterus should eat more walnuts, dates, and peanuts to nourish qi and warm the body.

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Written by Kang Jian Hua
Reproductive Center
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Infertility is divided into several types.

Common classification methods for infertility mainly include the following types: The first type is based on medical history, which can be divided into primary infertility and secondary infertility. Primary infertility refers to never having been pregnant; secondary infertility refers to having been pregnant before, but after trying to conceive for more than a year, despite having regular sexual intercourse without contraception, there has been no pregnancy. The second type is based on the treatment conditions, which can be divided into absolute infertility and relative infertility. Based on the results of treatment, it can further be classified into temporary infertility and permanent infertility. The third type is based on the causes of infertility, which can be divided into male infertility, female infertility, and infertility affecting both partners.

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Written by Shen Li Wen
Obstetrics and Gynecology
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Can low estrogen cause infertility?

If a woman's blood test reveals low estrogen levels, it may affect normal conception. Firstly, with low estrogen levels throughout the menstrual cycle, there can't be a peak change, which may lead to abnormal ovulation or anovulation. Additionally, if estrogen levels are low, the endometrium cannot proliferate effectively, leading to insufficient endometrial thickness and making it difficult for the fertilized egg to implant. Some women may conceive despite these issues; however, due to insufficient hormone levels, they may experience abdominal pain, vaginal bleeding, threatened miscarriage, or even arrested fetal development.