What should I do if I have irregular menstruation and infertility?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on January 11, 2025
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If menstrual irregularities lead to infertility, the first step is to go to the hospital for an endocrine test. Menstrual irregularities generally indicate a dysfunction in ovarian function. At this time, you can go to the hospital for a blood test, which should be done on the second to fifth day of the menstrual period. It is important to fast before the blood test. After the blood test, treatment should be based on the results. Generally, patients with menstrual irregularities experience ovulation disorders or ovarian secretion dysfunction, causing abnormal hormone levels in the body, which are not conducive to egg implantation and development. Therefore, if menstrual irregularities lead to infertility, it is essential to undergo relevant medical examinations at the hospital and then treat based on the findings. Moreover, if you have been trying to conceive for over a year without success, be sure to undergo other infertility tests.

Other Voices

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Written by Jia Rui
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Will menstruation ahead of schedule lead to infertility?

Menstruation occurring earlier than expected might lead to infertility. Generally, if a woman's period occurs every 20 days or so, it may be indicative of a shortened luteal phase, which can impact pregnancy. If menstruation consistently occurs earlier, it can affect ovulation and the development of the endometrium, which is disadvantageous for conception. If the advance in timing is significant, it usually suggests poor ovarian function, which can impact the development of follicles and the endometrium, thereby affecting pregnancy. If the cycle is very regular and involves normal follicles, the possibility of pregnancy cannot be ruled out. It is recommended to maintain a good mood and ensure adequate rest.

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Written by Li Li Jie
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Can a ruptured corpus luteum lead to infertility?

The destruction of corpus luteum cells can lead to infertility. The most common issue is the obvious rupture of the corpus luteum, accompanied by excessive pelvic fluid, which requires surgical treatment. Post-surgery, there could be pelvic adhesion, leading to partial fallopian tube adhesion, which may result in blockages or obstructions in the fallopian tubes. Therefore, during pregnancy, an ectopic pregnancy may occur, and even infertility, particularly in some women who do not seek timely medical treatment after a corpus luteum rupture. This leads to the spread of pelvic inflammatory disease, which may even develop into chronic pelvic inflammatory disease. It is essential to be cautious and avoid vigorous physical activities to prevent the dangerous rupture of the corpus luteum.

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Written by Zhang Wei Wei
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Can you have sexual intercourse before infertility examination?

There are many types of examinations for infertility. If the examination is for male infertility, such as a semen analysis, it is recommended not to have sexual intercourse three days prior to the test. For females, if the examinations involve blood tests or a gynecological ultrasound, intercourse is permissible. However, if the examination includes a routine vaginal discharge test, it is advised not to have sexual intercourse for at least three days beforehand. More stringent timing is required for examinations like hysteroscopy or a fallopian tube radiography. The principle here is to conduct these tests three to seven days after menstruation has ended, in order to complete the fallopian tube radiography and hysteroscopy effectively.

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Written by Kang Jian Hua
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Can immunological infertility be treated?

Immunological infertility is treatable. There are several main methods for treating immunological infertility. The first method is the blocking therapy, which involves using condoms for 3-6 months to make the sperm antigen antibodies disappear, thereby increasing the conception rate through alternate day intercourse. Many women are able to conceive through this method. The second method is in vitro fertilization, which is chosen if there is a high density of antisperm antibodies in the woman's body, making in vitro fertilization necessary for conception. This method generally has a high success rate. The third method is intrauterine artificial insemination. When there are many antisperm antibodies in the woman’s cervical mucus, this method involves treating the male’s semen outside the body, selecting high-quality sperm for artificial insemination. The fourth method is immunosuppressive therapy, which primarily involves the use of corticosteroids. However, the use of these hormones often causes some adverse damage to the body.

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What to eat to regulate the body for cold-induced infertility?

Cold body infertility, in traditional Chinese medicine, is mainly caused by the deficiency of spleen and kidney yang. Clinically, this will manifest as a pattern of deficiency and coldness. At this time, one should first make adjustments through diet. The diet should include more warm foods and less raw, cold, especially frozen foods, and more animal-based foods, which are beneficial for the body, such as beef, lamb, dog meat, fish, shrimp, leeks, pepper, and Sichuan pepper, etc. At the same time, one should also engage in more physical exercise to get the body moving and slightly sweating, which can improve the cold constitution and increase the chance of conception.