Can menstrual irregularity lead to infertility?

Written by Li Shun Hua
Obstetrics and Gynecology
Updated on November 28, 2024
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Menstrual irregularity simply indicates that ovulation is abnormal, and it does not necessarily mean that there is no ovulation. If ovulation occurs, there is a possibility of pregnancy. Therefore, having irregular periods does not mean pregnancy is impossible, although the chances of conception may be lower. Normally, a woman ovulates once within a month, but if her periods are irregular, it is difficult to pinpoint when ovulation occurs. Generally, about 14 days after ovulation, a normal menstrual period should occur. If there is an extended absence of menstruation, it usually suggests that ovulation has not occurred. If there is a desire for childbirth, treatment to regulate menstruation and promote ovulation may be necessary, as it would be quite difficult to conceive otherwise.

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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 Zhao Min Ying
Reproductive Medicine
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How is infertility defined?

If a couple is under 35 years old, cohabiting, having regular sexual intercourse, and has not used any contraception for over a year, the woman is diagnosed with infertility and the man with male infertility. For couples over 35 years old, cohabiting, having regular sexual intercourse, and not using any contraception for over half a year, the woman is diagnosed with infertility. After a diagnosis of infertility or sterility, it is necessary to visit a local reproductive center for further infertility-related examinations, including semen analysis for the man, ovulation monitoring for the woman, endocrine tests, and fallopian tube examinations, among others.

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Written by Li Shun Hua
Obstetrics and Gynecology
59sec home-news-image

Can menstrual irregularity lead to infertility?

Menstrual irregularity simply indicates that ovulation is abnormal, and it does not necessarily mean that there is no ovulation. If ovulation occurs, there is a possibility of pregnancy. Therefore, having irregular periods does not mean pregnancy is impossible, although the chances of conception may be lower. Normally, a woman ovulates once within a month, but if her periods are irregular, it is difficult to pinpoint when ovulation occurs. Generally, about 14 days after ovulation, a normal menstrual period should occur. If there is an extended absence of menstruation, it usually suggests that ovulation has not occurred. If there is a desire for childbirth, treatment to regulate menstruation and promote ovulation may be necessary, as it would be quite difficult to conceive otherwise.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
1min 17sec home-news-image

Secondary infertility refers to a condition where a person is unable to become pregnant or carry a pregnancy to term following the birth of one or more biological children.

Infertility is divided into primary infertility and secondary infertility. Primary infertility refers to never having been pregnant before, which is called primary infertility. Secondary infertility generally occurs in individuals who have had children or a history of miscarriage and have been unable to conceive again after trying for a year, thus constituting secondary infertility. It is essential for those with secondary infertility to undergo relevant fertility tests at a hospital. Typically, the clinical evaluation includes a semen analysis for the male partner, and for the female partner, tests such as Mycoplasma and Chlamydia detection, endocrine examinations, immunological tests, and assessments for fallopian tube patency and related endocrine tests. Generally, through these tests, the cause of secondary infertility can be identified, and treatment can be tailored based on the results. In cases of secondary infertility, the vast majority can achieve conception through targeted treatment.

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Written by Kang Jian Hua
Reproductive Center
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Can infertile people get married?

On a voluntary basis, infertile patients who do not have legally specified diseases that impede or postpone marriage can marry. However, marriage is unsuitable in cases such as severe mental illnesses, including schizophrenia and bipolar disorder, severe intellectual disabilities such as dementia, and during an active phase of certain communicable diseases. This includes untreated syphilis, gonorrhea, AIDS, Hepatitis A, open tuberculosis, leprosy, and others. These diseases may potentially harm the other party, and in such cases, one should not marry or should postpone marriage.