How does infertility arise?

Written by Zhao Min Ying
Reproductive Medicine
Updated on January 22, 2025
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Couples who live together and have normal sexual relations without any contraceptive measures for over a year are diagnosed with female infertility in the case of the woman, and male infertility in the case of the man. Infertility is related to many factors. For men, the main factors are abnormalities in the semen, which include low sperm count, weak sperm motility or even a complete absence of sperm, as well as sexual dysfunction, where various factors prevent the completion of normal sexual activities. For women, the main factors include, first, ovulatory disorders, which are primarily abnormalities in menstruation, although some may have normal menstruation but still experience ovulatory disorders. Second, factors related to the fallopian tubes; these can include previous conditions like pelvic inflammatory disease, appendicitis, etc., or infections caused during procedures involving the uterine cavity leading to blockages in the fallopian tubes, which can be diagnosed via hysterosalpingography. Third, conditions such as endometriosis and adenomyosis, which can also affect the chances of pregnancy. Fourth, factors related to the uterus, such as uterine fibroids, polyps, and malformations, which can create barriers to pregnancy. Lastly, some immunological factors, including antisperm antibodies or other antibody factors, etc.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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For female infertility, one should visit the department of gynecology.

Women who need infertility tests generally go to a hospital and visit either the Infertility Department or the Reproductive Medicine Department. Infertility is generally diagnosed when a couple has been married for over a year, both spouses have normal reproductive functions, have regular conjugal relations without contraception, and yet have not conceived. If infertility is confirmed, the male generally needs to undergo tests such as routine semen analysis, and checks for Mycoplasma and Chlamydia. The female usually needs to undergo tests for immunologic infertility, a sex hormone panel, ultrasound, hysterosalpingography, and follicle monitoring among other related examinations. These issues can generally be addressed by the infertility or reproductive medicine departments in local hospitals.

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Written by Li Li Jie
Obstetrics and Gynecology
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Will taking melatonin cause infertility in women?

Taking melatonin daily will not cause infertility in women. Melatonin can help with sleep and regulate immune function, but for women around 30 years old experiencing poor sleep, it should not be taken frequently. Since it is a hormonal medication, long-term use can not only have adverse effects on the body but also lead to dependency. During this period, women should ensure proper rest, engage in appropriate daytime activities, and maintain a regular lifestyle to help improve sleep quality. Additionally, maintaining a good mood is important. If you feel particularly depressed, it is advisable to consult a psychologist.

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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.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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How should one pay attention to diet with infertility?

Infertility requires first identifying the cause of infertility, whether it is related to male factors or female factors. The likelihood of diet affecting infertility is not very high, however, if there is excessive obesity or extreme thinness, appropriate changes need to be made. Relevant examinations should be conducted, such as tests for blood sugar, insulin levels, etc. Patients with infertility should, like everyone else, avoid overly selective eating habits, pay attention to their weight, and maintain a balanced diet to ensure adequate nutrition intake, and avoid eating junk food.

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Written by Kang Jian Hua
Reproductive Center
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Can Chinese medicine be taken for infertility?

In our clinical work, many patients often have this doubt: Can infertility be treated with Chinese medicine? It can be clearly stated that many diseases can achieve better results through the adjustment with Chinese medicine, and infertility is no exception. However, everyone's basic situation is different, and Chinese medicine cannot guarantee the treatment of all infertility cases. There are many diseases that cause infertility, and many reasons stem from either the male or female partner. There are both functional diseases and organic causes, making it not a simple disease. Issues with either the male or female partner can lead to infertility. It is advised to visit a local reputable public hospital for a detailed examination to determine the cause and then receive targeted treatment, whether through traditional Chinese medicine, surgery, or assisted reproductive technology.