How to diagnose infertility

Written by Zhao Min Ying
Reproductive Medicine
Updated on April 17, 2025
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When a couple lives together, has regular sexual intercourse without contraception for over a year, and does not conceive, it is termed infertility. If it concerns the female, it is called infertility, and if it concerns the male, it is called sterility. If a woman has previously been pregnant or has a history of childbirth or pregnancy, it is known as secondary infertility. If she has never been pregnant or had a childbirth, it is considered primary infertility. The same categories apply to males: those with a history of fathering a child, regardless of with which partner, are described as having secondary sterility, whereas those who have never impregnated a woman suffer from primary sterility. To diagnose infertility or sterility, one needs to undergo relevant medical checks at a hospital's reproductive medicine department. These examinations include ovulation monitoring, endocrine tests, gynecological examinations for women, and semen analyses and fallopian tube inspections for men, among others.

Other Voices

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Written by Zhang Wei Wei
Integrative Medicine
1min 13sec home-news-image

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 Yue Hua
Obstetrics and Gynecology
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What are the reasons for infertility despite having intercourse during the ovulation period?

The reasons for not getting pregnant despite having intercourse during the ovulation period primarily involve considering whether there is an issue with the male partner’s sperm. Additionally, although it is the ovulation period, the development of the follicles must also be examined. If the follicles are undeveloped, or if they are very small, pregnancy is unlikely in such cases. Moreover, the condition of the fallopian tubes should be checked, as both the egg and the sperm need to travel through these tubes. If the fallopian tubes are blocked, it will prevent pregnancy because the sperm and egg cannot meet, leading to infertility.

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Written by Jia Rui
Obstetrics and Gynecology
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Can qi and blood deficiency lead to infertility?

Insufficient qi and blood can indirectly cause infertility. Symptoms of insufficient qi and blood include dizziness, weakness, poor sleep quality, and pale complexion. These conditions can lead to changes in menstruation, such as delays in the onset of periods and reduced menstrual flow; the color may also become lighter. There is a direct relationship between menstruation and infertility, which suggests that women with insufficient qi and blood may experience infertility symptoms due to this deficiency.

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Written by Kang Jian Hua
Reproductive Center
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Treatment methods for infertility

The main treatment methods for infertility include medication, surgical treatment, and assisted reproductive technologies. Medication can target endocrine abnormalities and reproductive tract infections in both males and females. Surgical treatment can be aimed at conditions such as varicocele in males and uterine fibroids and ovarian cysts in females. Assisted reproductive technologies primarily address severe oligospermia in males and tubal blockages in females, among other common diseases. It is recommended to visit the reproductive medicine department of a local public hospital to clarify the cause of infertility and receive targeted treatment. (Specific medications should be taken under the guidance of a doctor.)

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Written by Zhang Shu Kun
Traditional Chinese Medicine
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How to regulate infertility caused by cold in the body?

Patients with cold-induced infertility can eat some foods that expel cold, such as adzuki beans, Chinese yam, coix seeds, and jujube, which can effectively help eliminate cold from the body. They can also drink chrysanthemum tea, fat sea, and honeysuckle tea, which can help regulate the body. It is also important to avoid cold, stimulating, and greasy foods, and it is recommended to eat more fresh fruits and vegetables to aid digestion in the gastrointestinal tract. Additionally, methods such as steam sauna, soaking feet in warm water, cupping, and moxibustion can effectively help expel cold and improve symptoms of infertility.