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 Kang Jian Hua
Reproductive Center
1min 32sec home-news-image

What should an infertile man check?

The definitive diagnosis of male infertility requires determination based on professional examination procedures. Common examinations include the following: First, it is crucial to conduct a medical history interview. The patient should actively cooperate and honestly report their conditions, such as whether they have had mumps, any unsafe sexual behaviors, and what their occupation is. Second, a physical examination, including a general body and reproductive organ examination, is necessary. Special attention should be given to the patient's developmental, nutritional, and mental status, with a focus on the development of the reproductive organs. Third, laboratory tests. The most common is semen analysis. Other tests may be selected based on specific conditions, such as X-ray examinations to determine the location of any blockage in the vas deferens. Techniques such as vasography, epididymography, vas deferens and seminal vesicle radiography, or urethrography can be used. Testicular exams are also performed to assess the condition of the testicles. Additionally, immunological tests, including sperm agglutination and immobilization tests, are used to detect sperm agglutination antibodies or immobilization antibodies in serum or seminal plasma, which help assess the immune status.

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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.

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Written by Zhang Lu
Obstetrics
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Why does endometriosis cause infertility?

Endometriosis is a common cause of infertility. The reasons endometriosis leads to infertility mainly include the following aspects: First, if endometriosis occurs above the ovaries, this condition is referred to as ovarian chocolate cysts. This disease can cause ovarian ovulation disorders. Second, endometriosis easily leads to pelvic adhesions, which can affect the function of the fallopian tubes, making it difficult for the fimbrial end of the tubes to capture eggs. Endometriosis is very common among women with infertility; therefore, a thorough examination is essential when screening for causes of infertility. If endometriosis is present, surgical or medical treatment should be chosen to improve the symptoms of endometriosis as much as possible and alleviate the causes of 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 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.