However, with the rapid development of modern social civilization, more and more young people are no longer interested in having a child, the so-called "DINKs". However, there are still many people who adhere to the old idea that "the three unfilial acts are to have no descendants and the worst one" and hope to have children. However, infertility has become the destroyer of this wish. So, what are the five symptoms of infertility? This will give you a detailed introduction to some relevant professional knowledge. (1) Understand the medical history of the appropriate age for marriage, the ages of both spouses, physical conditions, whether the couple lives apart, the couple's living conditions, what contraceptive measures have been used after marriage and when; menstrual history: age of menarche. Menstrual cycle, menstrual volume, and whether there is menstrual pain; past history: whether there is tuberculosis, especially abdominal tuberculosis, other endocrine diseases (thyroid cysts, pituitary gland, adrenaline), excessive mental stimulation, weight changes, etc.; for secondary infertility, the experience of past miscarriage or delivery should be understood, whether there is infection, etc. (B) Physical examination During the physical examination, attention should be paid to the growth and development of secondary sexual characteristics and hair separation. Rest heavy. Gynecological examinations should focus on the growth and development of reproductive organs, and whether there are any deformities, inflammation or masses. Have a basic understanding of women based on medical records and examinations. (III) Examinations to exclude systemic diseases: Lung CT examination can exclude pulmonary tuberculosis (pulmonary tuberculosis may cause genital tuberculosis and lead to infertility); if thyroid hormone is suspected to be relatively hyperactive or low, relevant thyroid hormone tests should be performed; if thyroid hormone tests are suspected; if pituitary disease is suspected, sella turcica X-ray examination and lactogen measurement should be performed; if adrenal disease is suspected, urine 17-ketoacid, 17-hydroxy and blood aldosterone should be measured. (IV) Checking ovulation function There are many ways to check ovulation, but the best ones are measuring ovulation body temperature and cervical mucus testing. Through these two methods, it is possible to determine whether ovulation occurs or not, but it is impossible to determine the exact ovulation date, which may vary by 5-7 days. Some people still ovulate even though their cervical mucus is always less and thick, and their ovulation temperature is extremely atypical. (V) Anti-sperm antibodies (ASAb) Sperm contains a variety of proteins and is therefore antigenic. Sperm antigens are in the female reproductive system, mainly causing an immune response after being absorbed by the cervical epithelial cells, and then producing antibodies in the female blood or reproductive system, namely anti-sperm antibodies. These antigens have a coagulation or braking effect on sperm, which can have a negative impact on sperm during sexual intercourse. Couples who cannot find the cause of infertility after systematic examination have anti-sperm antibodies. After this infertile couple uses condoms for a period of time, the antigens may disappear and they may become pregnant. |
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