Infertility means the inability to conceive (get pregnant) after a year or more of regular sexual activity without contraception.

Written by Kang Jian Hua
Reproductive Center
Updated on March 08, 2025
00:00
00:00

Many people are not clear about the difference between infertility and sterility, thinking that infertility refers to the inability of a woman to conceive, while sterility refers to the inability of a man to reproduce. Actually, this understanding is incorrect, or rather, incomplete. Infertility should be defined as a couple living together for more than a year, having normal sexual intercourse without contraception, and being unable to cause pregnancy in the female, which is called infertility. Sterility, on the other hand, refers to the situation where the female can get pregnant but cannot give birth. Therefore, there is a certain difference between the two. There are primary and secondary infertility. Primary infertility refers to those who have never been pregnant or given birth before. Secondary infertility refers to those who have previously been pregnant or given birth, but later, due to some reason or disease, are unable to conceive after living together for more than a year, which is called secondary infertility.

Other Voices

doctor image
home-news-image
Written by Zhao Min Ying
Reproductive Medicine
56sec home-news-image

Can sexual apathy cause infertility?

Sexual indifference is a matter concerning the harmony of sexual life between couples, the stability of their relationship, and the quality of life. Regarding fertility, as long as the couple can have sexual intercourse, the male can ejaculate, and the semen can be deposited into the female reproductive tract, there is a chance of pregnancy. Therefore, from this perspective, mere sexual indifference, as long as intercourse can be completed, does not affect conception. However, if sexual indifference prevents intercourse, then it does affect the possibility of pregnancy. Therefore, ultrasound monitoring of ovulation and guiding intercourse during the ovulation period can increase the chances of pregnancy. When necessary, artificial insemination can also be considered to aid conception.

doctor image
home-news-image
Written by Jia Rui
Obstetrics and Gynecology
45sec home-news-image

What are the precautions for infertility?

For women with infertility, it is first necessary to determine the survival rate of the man's sperm by conducting a sperm test. Additionally, women need to undergo routine examinations and follicle checks. If there are no issues found, a fallopian tube examination should be done for the woman. In daily life, it is important to ensure adequate sleep and to pay attention to rest and avoid alcohol and tobacco. Furthermore, it is crucial to eliminate tension, adjust one’s mindset, and adopt a positive attitude. Bad habits such as staying up late and pulling all-nighters need to be changed.

doctor image
home-news-image
Written by Wang Jing Hua
Obstetrics and Gynecology
55sec home-news-image

Classification of the Causes of Infertility

For infertility, it is important to conduct relevant tests as early as possible while young, to receive effective treatment promptly, and to complete childbirth at the earliest. Firstly, male testing should be conducted because the probability of male infertility is also high, and the tests for males are relatively simpler. Afterwards, the causes in females should be investigated, such as monitoring ovulation and conducting endocrine tests for ovulation. Then, the condition of the endometrium should be examined, and a hysterosalpingography should be performed between the third and seventh days of a clean menstrual period to see if this factor contributes to infertility. Subsequently, various biochemical tests, such as immune function and pre-thrombotic state, should also be considered.

doctor image
home-news-image
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.

doctor image
home-news-image
Written by Shen Li Wen
Obstetrics and Gynecology
58sec home-news-image

Do Nabothian cysts of the cervix cause infertility?

Women with cervical Nabothian cysts will not become infertile because of them. Cervical Nabothian cysts are actually cysts of the cervical glands. Abnormal substances, such as squamous epithelium during the healing process, have entered the gland ducts, blocking them and preventing the contents of the cysts from escaping. They merely indicate the squamo-columnar junction of the cervix and do not affect the cervical canal or cause it to narrow, nor do they affect vaginal secretions or female infertility. However, if a woman has a particularly large single cervical cyst or multiple cervical gland cysts, they may cause cervical hypertrophy. When the cervix is enlarged, there might be hyperplasia in the interstitial part and possible formation of fibrous tissue. This could potentially affect the dilation of the cervix during childbirth.