Which department should I go to for infertility treatment?

Written by Zhang Wei Wei
Integrative Medicine
Updated on October 29, 2024
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For infertility issues, one should first visit a formal hospital. At the hospital, men can choose to see either a traditional Chinese medicine andrologist or a Western medicine andrologist, while women can opt to visit a traditional Chinese medicine infertility specialist, or a gynecology or obstetrics department. After consulting these departments, doctors will conduct various tests to identify and rule out causes of infertility. Then, based on the test results, they will administer targeted treatments or interventions. This approach helps infertility patients to conceive as soon as possible.

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Written by Li Shun Hua
Obstetrics and Gynecology
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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 Kang Jian Hua
Reproductive Center
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Infertility is a condition.

Infertility refers to the condition where, after a couple has married and cohabited for more than a year, despite having regular sexual intercourse without any contraception, they are unable to conceive naturally. There are many factors that can cause infertility, including factors related to the male, the female, or both. Male factors account for about 40% of infertility cases, female factors account for about 50%, and combined factors account for about 10%. Female infertility includes ovarian infertility, fallopian tube infertility, uterine infertility, cervical infertility, vaginal infertility, immunological infertility, and more.

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Written by Zou Fu Hua
Obstetrics and Gynecology
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How is infertility treated?

For the treatment of infertility, it is necessary to address the specific causes of infertility. For instance, infertility caused by partial fallopian tube blockage can be treated conservatively, such as using traditional Chinese medicine enemas and external applications. In cases of severe fallopian tube blockage or blockage at the isthmic part, surgery or in vitro fertilization may be required. Additionally, some women may suffer from undeveloped follicles or anovulation, which necessitates the use of Chinese or Western medicine to stimulate follicle development and ovulation. Good follicle development and ovulation are essential for conception. Furthermore, infertility can also be due to male factors, such as sperm issues, which would require the male partner to undergo treatment at a urology clinic to improve sperm quality before conception can occur.

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Written by Kang Jian Hua
Reproductive Center
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Infertility means the inability to conceive (get pregnant) after a year or more of regular sexual activity without contraception.

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.

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Written by Li Shun Hua
Obstetrics and Gynecology
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How many abortions can lead to infertility?

How many abortions lead to infertility is uncertain. Some people become infertile after just one abortion, while others may still be able to conceive normally after four or five abortions. This varies greatly depending on the individual's constitution, their condition after the procedure, and the doctor performing the surgery. Some people have weaker immune systems and may experience infections within the uterine cavity after surgery; such conditions can easily lead to uterine adhesions and blockages in the fallopian tubes, resulting in infertility. Others with stronger immune systems can recover quickly after surgery, generally without impacting their ability to conceive. Inexperienced surgeons might cause damage to the endometrium and uterine adhesions, which can also lead to infertility.