When to go for infertility check-ups?

Written by Kang Jian Hua
Reproductive Center
Updated on March 23, 2025
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The timing of infertility examinations cannot be generalized and should be determined based on the specific test and gender. For males, the primary tests include semen analysis and sperm morphology exams. These require the male to abstain from ejaculation for 2-7 days because if the abstinence period is too short, less than 48 hours, both sperm quality and semen volume may be low, which does not reflect the true level. Conversely, if the abstinence exceeds seven days, it can also affect the results of the test. For females, if undergoing a six-item hormone test, it is best conducted during days 2-5 of the menstrual cycle. For a fallopian tube patency test, it is safer to conduct it between days 3-7 after the menstrual period has ended. The exact timing of these tests should be advised by the attending physician.

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Written by Kang Jian Hua
Reproductive Center
41sec home-news-image

Can infertile people get married?

On a voluntary basis, infertile patients who do not have legally specified diseases that impede or postpone marriage can marry. However, marriage is unsuitable in cases such as severe mental illnesses, including schizophrenia and bipolar disorder, severe intellectual disabilities such as dementia, and during an active phase of certain communicable diseases. This includes untreated syphilis, gonorrhea, AIDS, Hepatitis A, open tuberculosis, leprosy, and others. These diseases may potentially harm the other party, and in such cases, one should not marry or should postpone marriage.

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Written by Kang Jian Hua
Reproductive Center
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Can infertility be treated?

Infertility is treatable. The examination and treatment of infertility are progressive and not just a matter of visiting a doctor once and taking some medication to see immediate effects. Often, it is a prolonged battle that sometimes requires six months, or even one to two years, and requires patience without haste. For many patients with infertility, the course of the disease tends to be long and the condition complex, leading to a relatively long treatment period. Therefore, when dealing with infertility and its treatment, it is advisable to visit the reproductive medicine department of a local public hospital for relevant examinations to avoid unnecessary detours.

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Written by Zhang Wei Wei
Integrative Medicine
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What to check for infertility

What tests should be done for infertility? The tests for males are much simpler compared to those for females, primarily focusing on semen analysis as well as prostate and ultrasound examinations. For females, besides examining the development of the internal and external genitalia, checking for inflammation and inflammatory masses, and assessing breast lactation, several specialized tests can also be conducted. These include evaluating the patency of the fallopian tubes by hysterosalpingography, ovarian function tests including basal body temperature (BBT) measurements, vaginal cytology, endometrial examination, and female hormone assessments. Immunological tests include checking for anti-endometrial, anti-ovarian, anti-trophoblast, and anti-sperm antibodies, among others. Ultrasound examinations help in detecting pelvic tumors and uterine conditions, and also in monitoring follicle development and ovulation. Other tests include hysteroscopy, laparoscopy, and an analysis of chromosomal abnormalities in the couple.

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Written by Zhang Wei Wei
Integrative Medicine
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Can infertility ovulate?

I would like to discuss the causes of female infertility. The main causes of female infertility are ovulatory disorders and fallopian tube factors. If infertility is primarily due to fallopian tube factors, the patient does not have ovulatory disorders and can ovulate normally. Many cases of infertility are due to ovulatory disorders, which may be caused by ovarian dysfunction leading to persistent anovulation. Some are due to ovarian diseases, underdeveloped ovaries, polycystic ovary syndrome, premature ovarian failure, and functional ovarian tumors. Or it could be due to dysfunction of the hypothalamic-pituitary-ovarian axis causing anovulation. It could also be due to endocrine metabolic diseases, such as hyperfunction or hypofunction of the thyroid or adrenal cortex, which can lead to anovulation. Therefore, in women with infertility caused by fallopian tube factors, ovulation can occur; if it is caused by ovulatory disorders, it involves ineffective ovulation or an inability to ovulate.

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Written by Zhang Shu Kun
Traditional Chinese Medicine
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Can cold body and cold uterus lead to infertility?

Patients with cold body constitution or cold in the uterus are more likely to experience infertility. Therefore, if one has a cold body constitution, it is important to adjust it promptly. Usually, you can eat some foods that eliminate coldness in the body, such as adzuki beans and coix seeds. Engaging in more physical exercise and sweating can also help expel the coldness through sweat. Alternatively, soaking in warm water, sauna treatments, cupping therapy, and moxibustion are effective methods for expelling internal coldness. These can improve symptoms of a cold constitution and spending more time in the sunlight can also boost the body's immunity.