How to treat infertility?

Written by Kang Jian Hua
Reproductive Center
Updated on December 17, 2024
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The treatment methods for infertility primarily include medication, surgical treatment, and assisted reproductive technologies. For couples with infertility, it is essential to adopt appropriate treatment methods based on different causes and conditions. Medication is a commonly used method, mainly targeting conditions such as oligospermia, asthenozoospermia, and reproductive tract infections in men, as well as menstrual disorders and reproductive tract infections in women.

Surgical treatment mainly targets conditions such as varicocele and vas deferens obstruction in men, and uterine fibroids and polycystic ovary syndrome in women. Assisted reproductive technologies are mainly used for some patients who do not respond well to medication or surgery, such as men with idiopathic oligospermia and women with blocked fallopian tubes, requiring these technologies for treatment.

Other Voices

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Written by Zhao Min Ying
Reproductive Medicine
1min 23sec home-news-image

What tests are done for infertility?

Couples who have lived together for more than a year and have regular sexual intercourse without using any contraception and still have not conceived are diagnosed with infertility. For men, it is referred to as sterility. Infertility requires couples to visit the reproductive medicine department for relevant infertility tests. The tests for men are simpler, primarily requiring abstinence from sexual activity for two to seven days before undergoing a semen analysis. For women, the tests vary depending on the condition but generally include the following aspects: First, blood tests related to endocrinology are conducted 2 to 4 days into menstruation. Second, from 3 to 7 days after menstruation ends, during which sexual intercourse should be avoided, tests can be conducted to check the patency of the fallopian tubes. Third, ovulation can be monitored by ultrasound from days 9 to 11 of the menstrual cycle until ovulation is confirmed. Additionally, routine gynecological examinations, including checks of the cervix and ultrasound examinations, are also conducted.

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Written by Shen Li Wen
Obstetrics and Gynecology
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Can pelvic effusion cause infertility?

Usually, pelvic effusion in women does not lead to infertility. For instance, physiological conditions in women, such as during the menstrual period or around ovulation, can lead to a small amount of leakage in the pelvic cavity. During an ultrasound, this may appear as a small amount of pelvic effusion, which is usually absorbed normally and does not affect pregnancy. However, if a woman's pelvic effusion is due to inflammation, and this inflammation affects the fallopian tubes or ovaries, causing inflammation in these areas, it might impact the woman's ability to conceive normally.

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Written by Zou Fu Hua
Obstetrics and Gynecology
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How is female infertility investigated?

There are many tests to be done for female infertility. For example, during menstruation, a fasting blood test can be done to check for six sex hormones, including follicle-stimulating hormone, luteinizing hormone, prolactin, estrogen, testosterone, and progesterone. Between days 3-7 after menstruation ends, a fallopian tube hydrotubation and imaging can be performed, but intercourse must be avoided and there should be no gynecological inflammation to proceed with this examination. Additionally, routine vaginal secretion and mycoplasma infection tests can be conducted to check for any related issues. Moreover, around the tenth day of the menstrual cycle, a follicle monitoring ultrasound can be done to observe if there are dominant follicles and whether ovulation occurs. The male partner should also undergo some related tests. In summary, different tests can be conducted at different times for female infertility.

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Written by Zhang Lu
Obstetrics
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Why does a chocolate cyst cause infertility?

Chocolate cysts, also known as ovarian endometriomas, are a manifestation of endometriosis. Generally, it refers to the implantation of endometrial tissue on the ovaries, causing local infiltration and invasion, leading to cysts. Because the fluid inside the cyst resembles chocolate, they are called chocolate cysts. Chocolate cysts may cause infertility, for the following reasons: First, chocolate cysts can affect the function of the ovaries, causing ovulatory disorders and ovarian dysfunction. The secretion of estrogen and progesterone is relatively low, and these factors can lead to infertility. Second, chocolate cysts can cause adhesions within the pelvic cavity, affecting the egg-picking function of the fallopian tubes. This factor can also lead to female infertility.

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Written by Kang Jian Hua
Reproductive Center
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How many people are infertile?

The infertility rate in our country is around 12%. According to the data released by the China Population Association and the National Health and Family Planning Commission, the infertility rate among couples of childbearing age in China has climbed from 2.5%-3% twenty years ago to about 12%-15% this year, with the number of affected individuals exceeding 50 million. Among these 50 million patients, 50% are women, 40% are men, and about 10% are cases involving both partners. With increasing environmental pollution, delayed childbearing age, and growing life pressures, the number of couples experiencing infertility continues to rise.