Can a ruptured corpus luteum lead to infertility?

Written by Li Li Jie
Obstetrics and Gynecology
Updated on November 04, 2024
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The destruction of corpus luteum cells can lead to infertility. The most common issue is the obvious rupture of the corpus luteum, accompanied by excessive pelvic fluid, which requires surgical treatment. Post-surgery, there could be pelvic adhesion, leading to partial fallopian tube adhesion, which may result in blockages or obstructions in the fallopian tubes. Therefore, during pregnancy, an ectopic pregnancy may occur, and even infertility, particularly in some women who do not seek timely medical treatment after a corpus luteum rupture. This leads to the spread of pelvic inflammatory disease, which may even develop into chronic pelvic inflammatory disease. It is essential to be cautious and avoid vigorous physical activities to prevent the dangerous rupture of the corpus luteum.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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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.

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How to treat infertility?

The treatment methods for infertility primarily include medication, surgical treatment, and assisted reproductive technologies. For couples with infertility, it is essential to adopt appropriate treatment methods based on different causes and conditions. Medication is a commonly used method, mainly targeting conditions such as oligospermia, asthenozoospermia, and reproductive tract infections in men, as well as menstrual disorders and reproductive tract infections in women. Surgical treatment mainly targets conditions such as varicocele and vas deferens obstruction in men, and uterine fibroids and polycystic ovary syndrome in women. Assisted reproductive technologies are mainly used for some patients who do not respond well to medication or surgery, such as men with idiopathic oligospermia and women with blocked fallopian tubes, requiring these technologies for treatment.

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When should infertility be investigated?

There are many reasons for infertility, involving factors from the male, the female, or both. The specific timing for testing cannot be generalized and should be determined based on the test required. For male factors, if a semen analysis is needed, it is best to abstain from ejaculation for two to seven days and conduct the test in the morning. If testing involves blood work for six sexual hormones, it should be done in the morning on an empty stomach. A prostate examination requires urine retention before the test. For female factors causing infertility, blood tests should also be done in the morning on an empty stomach. Hysterosalpingography should be scheduled to avoid the menstrual period, ideally two to seven days after the period ends. Consult a professional physician for other specific tests.

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Obstetrics and Gynecology
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Causes of infertility

Infertility may be due to factors involving either the male or the female. The main causes of female infertility include ovulatory disorders and fallopian tube factors. Ovulatory disorders may result from dysfunction in ovulation, such as changes in the hypothalamic-pituitary-ovarian axis, as well as ovarian diseases, with polycystic ovary syndrome being the most common condition that could lead to ovulatory issues. Fallopian tube factors include blockages or inefficiencies, which can also cause infertility in women. Uterine factors can also lead to infertility, including abnormalities of the uterus, inflammation of the endometrium, polyps in the endometrium, and intrauterine adhesions, all of which can affect the implantation of the fertilized egg and cause infertility. Abnormal cervical mucus secretion, cervical inflammation, and an unusual immune environment in cervical mucus that affects sperm passage can also lead to infertility. Male infertility factors primarily include disorders of sperm production and sperm delivery, which may manifest as abnormalities in semen, shown by the absence of sperm, weak sperm, or low sperm count, all contributing to infertility. Additionally, sexual dysfunctions such as premature ejaculation, anejaculation, and erectile dysfunction can also result in male infertility.

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Can fallopian tube cysts cause infertility?

If it has been confirmed that there is a fallopian tube cyst, further examination is still needed to determine whether the fallopian tube cyst affects normal conception. If the fallopian tube cyst causes narrowing or blockage of the fallopian tube lumen, it may decrease the likelihood of normal conception or increase the risk of ectopic pregnancy. If the cyst on the fallopian tube does not affect the spaciousness of the entire lumen or cause any blockage of the fallopian tube, it generally will not have any impact on normal conception.