What should I do if I can’t get pregnant?

What should I do if I can’t get pregnant?

In life, the inability to conceive is related to the physical fitness of both men and women. First of all, if the man's body is abnormal, such as azoospermia and oligospermia, he will be infertile. If the woman has menstrual cycle disorders and gynecological diseases, she will not be able to conceive. We should check our bodies and check which parts of the bodies of both parties are abnormal and what kind of treatment to take. If you still cannot get pregnant, you can choose in vitro fertilization.

Pregnancy is a systematic project, which is related to many factors among the man, the woman and the relationship between the two parties. It is recommended that you go to a professional department of a regular hospital for systematic testing and treatment. What tests should be done for female infertility? The examination items in each hospital may not be the same, there will be differences. Female infertility examination - systemic examination In addition to a full-body examination, a reproductive system examination should also be done. So, what inspections must be done? You can get a general understanding of it in advance to be prepared for any eventuality.

(1) Female infertility examination - systemic examination In addition to a full-body examination, a reproductive system examination should also be performed. In addition to general visual and palpation examinations, colposcopy and internal examination (bimanual or trimanual examination) are also required to gain a preliminary understanding of the general conditions of the vagina, uterus, cervix, fallopian tubes, ovaries and pelvic cavity, such as whether the size and position of the uterus are normal, whether there are any lumps or tenderness in the fallopian tubes, uterus and ovaries, whether there is any pain when the uterus is lifted, and the mobility of the appendages.

(2) Female infertility test - inferring the presence or absence of ovulation and predicting the ovulation period: This can be determined through B-ultrasound, basal body temperature measurement, cervical mucus examination or hormone measurement.

(3) Female infertility examination - endometrial examination: When necessary, a biopsy can be performed to understand the functional status of the endometrium. In addition, a menstrual examination is a reliable method to understand the presence of ovulation or the functional status of the corpus luteum. At the same time, it can also understand the size of the uterine cavity and rule out uterine cavity lesions such as tuberculosis and uterine fibroids.

(4) Female infertility examination - endocrine function test: for example, measuring serum estrogen and progesterone levels at different times of the menstrual cycle to understand the ovarian function; measuring the basal metabolic rate to understand the thyroid function; conducting adrenal function tests and serum prolactin measurements, etc.

(5) Female infertility examination - Fallopian tube patency test: including fallopian tube ventilation or fluid permeation test and hysterosalpingography, mainly to understand whether the fallopian tubes are patency, whether the uterus and fallopian tubes develop normally, and whether there are any deformities. It also has a therapeutic effect on those with poor patency of the fallopian tubes (such as mild adhesions).

(6) Female infertility examination - immunological examination: To understand the presence of anti-sperm antibodies, in addition to anti-sperm antibody testing, it can also be indirectly understood through post-coital tests, in vitro sperm penetration tests, etc.

(7) Female infertility examination - X-ray examination of the brain (sella turcica): to determine whether there is a tumor or other lesion in the pituitary gland.

(8) Female infertility test - chromosome test: Some infertility is related to the presence of anti-sperm antibodies in the body, so sometimes relevant immunological tests are also required.

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