Why does adenomyosis cause infertility?

Written by Zhao Li Li
Obstetrics
Updated on November 26, 2024
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Under normal circumstances, adenomyosis is mainly due to factors such as the elasticity of muscle fibers in the uterine muscle layer, leading to abnormal enlargement of the uterus. This causes severe complications such as increased menstrual flow and painful menstruation. There are no specific treatment methods. During the onset of adenomyosis, it might affect the normal menstrual cycle of women, leading to increased menstrual flow or irregular menstruation. This can easily interfere with the normal development and ovulation of follicles, therefore significantly impacting normal conception. Once diagnosed, it is also necessary to actively treat the symptoms to avoid delaying normal conception.

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Written by Jia Rui
Obstetrics and Gynecology
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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.

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Written by Kang Jian Hua
Reproductive Center
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What does infertility cos mean?

Let's take a look at what infertility COS means. Infertility COS is an abbreviation for Polycystic Ovary Syndrome in English. Polycystic Ovary Syndrome is a common disease in women, characterized by obesity, hirsutism, amenorrhea, and infertility. This disease is characterized by an excess of androgens and persistent anovulation. Ultrasound examinations did not find ovarian volumes greater than 10 ml and follicles with diameters of 2 to 9mm, with at least 12 present. People with this disease often seek treatment for infertility. Currently, the methods of treating this disease in China include medication and surgery.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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Is infertility immunotherapy effective?

Infertility immunotherapy is effective, first looking at the cause of infertility. If infertility arises due to immune dysfunction, immunotherapy can be employed for targeted treatment at that time. If it is caused by fallopian tube blockage, tubal hydrotubation can be performed, followed by further fallopian tube treatment. Furthermore, if infertility is caused by anovulation of the ovaries, initially monitor the follicles via ultrasound. If indeed the follicles are not ovulating, medication can be used to stimulate ovulation. If infertility is caused by endocrine disorders, it is essential to regulate the endocrine system accordingly. Therefore, whether infertility immunotherapy is useful depends on the cause. If infertility occurs due to immune dysfunction, immunotherapy can be effective. If infertility is caused by other reasons, immunotherapy will be ineffective, hence it is crucial to evaluate the situation accordingly.

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Written by Kang Jian Hua
Reproductive Center
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Can immunological infertility be treated?

Immunological infertility is treatable. There are several main methods for treating immunological infertility. The first method is the blocking therapy, which involves using condoms for 3-6 months to make the sperm antigen antibodies disappear, thereby increasing the conception rate through alternate day intercourse. Many women are able to conceive through this method. The second method is in vitro fertilization, which is chosen if there is a high density of antisperm antibodies in the woman's body, making in vitro fertilization necessary for conception. This method generally has a high success rate. The third method is intrauterine artificial insemination. When there are many antisperm antibodies in the woman’s cervical mucus, this method involves treating the male’s semen outside the body, selecting high-quality sperm for artificial insemination. The fourth method is immunosuppressive therapy, which primarily involves the use of corticosteroids. However, the use of these hormones often causes some adverse damage to the body.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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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.