Female infertility, beware of these symptoms!

Nowadays, people often cannot conceive normally after many years of marriage, and both husband and wife have to go to the hospital for examination. There are many reasons that lead to infertility. It does not mean that it will affect healthy fertility only when symptoms appear on the body. Many female and male bodies may cause infertility, but the female body structure is complex and the chance of infertility is higher. Usually, female infertility may be accompanied by dysmenorrhea all year round, scanty menstruation, frequent vaginal bleeding, a feeling of blockage and swelling in the vagina, slow development of the endometrium of the uterus, or physical maldevelopment of the body. These may all lead to infertility. In principle, the usual treatment and medication should be based on the factors of the disease and the cause of the infertility to choose the appropriate treatment method.

The medical content is for reference only and cannot be used as a basis for medical treatment.

Infertility refers to a disease in which a married couple has normal sexual life, does not use contraception, and lives together for two years without becoming pregnant. In the past decade or so, there has been no unified time diagnosis standard for infertility. The standard data on the time of conception after marriage at home and abroad vary greatly. There have been changes in the time limit for diagnosing infertility. For example, the traditional diagnosis of infertility in my country is: any couple who lives together for 3 years after marriage and does not conceive without taking any contraceptive measures is considered infertile. In recent years, some people have argued that any couple who live together for one year after marriage and cannot conceive without using contraception is considered infertile. Since our country advocates late marriage and family planning, the time set for the former is too long, delaying the treatment opportunity, while the time for the latter is too short, and the conclusion of infertility is too early. Therefore, setting the time limit for infertility at 2 years is more in line with my country's national conditions.

Symptoms and signs

Patients may have amenorrhea, dysmenorrhea, infrequent or oligomenorrhea, irregular vaginal bleeding or cervical or vaginitis diseases resulting in increased vaginal discharge, adnexal masses, thickening and tenderness; abnormal hair distribution; abnormal breasts and secretions; delayed endometrial development, uterine hypoplasia and malformations; severe malnutrition, abnormal body shape and body mass index (BMI), i.e., weight (kg)/height (m2), etc.

Medication

Strengthening physical fitness and improving health, correcting anemia and malnutrition, actively treating systemic chronic diseases, quitting smoking and drinking, etc. are all beneficial for infertile patients to restore their fertility; mastering sexual knowledge, learning to self-predict ovulation, having sexual intercourse during the ovulation period (2 to 3 days before ovulation or within 24 hours after ovulation), and having an appropriate number of sexual intercourses are all beneficial to increasing the chance of conception.

1. Medical treatment of anovulation

(1) Principles of drug selection:

① Hyperprolactinemia: When PRL>0.8nmol/L, further investigation is required to find out the cause. If it is caused by drugs, the drugs should be stopped or changed before testing; if it is functional hyperprolactinemia, bromocriptine can be used for treatment; if it is caused by pituitary adenopathy, bromocriptine should be used for treatment first. If the treatment effect is not good, or the tumor diameter is greater than 10mm or the tumor compresses the optic chiasm nerve and causes visual impairment, surgical treatment to remove the adenopathy should be used. If PRL has returned to normal after the above treatment but ovulation still does not occur, clomiphene or human menopausal gonadotropin (HMG) can be added for treatment.

② Treatment of patients with normal prolactin values:

They can be divided into three categories according to the FSH and LH measurement values.

A. Low gonadotropin (FSH and LH are both lower than 5U/L): The cause is unknown, some may be Sheehan syndrome, etc. The treatment plan is: first use estrogen or estrogen-progesterone cyclic therapy to correct endometrial atrophy caused by long-term amenorrhea; then use clomiphene (clomiphene) or tamoxifen (tamoxifen) for treatment; if clomiphene (clomiphene) is ineffective, finally use human gonadotropin (HMG)-human chorionic gonadotropin (HCG) treatment, or clomiphene + human gonadotropin (HMG) + human chorionic gonadotropin (HCG) therapy.

B. Normal gonadotropins (FSH and LH values ​​are between 5 and 40 U/L): common in polycystic ovary syndrome, suitable for those with delayed and irregular menstruation. Methods: First, use progesterone to induce withdrawal uterine bleeding; then use clomiphene (clomiphene) or tamoxifen for treatment; if accompanied by hyperandrogenism, prednisone + clomiphene (clomiphene) can be used for treatment; if clomiphene (clomiphene) is ineffective, use human gonadotropin (HMG)-chorionic gonadotropin (HCG) or clomiphene (clomiphene) + human gonadotropin (HMG) +

Diet and health care

1. Diet therapy for infertility:

Fried shrimp with rice wine

Ingredients: 400 grams of fresh shrimp, 250 grams of rice wine, chopped green onion and ginger.

Preparation method: Wash and shell the shrimps, then soak them in rice wine for 10 minutes. Bring sesame oil to a boil in a hot pan, add chopped green onion and stir-fry. Then add shrimp, salt and minced ginger and stir-fry until cooked.

Efficacy: Warms and nourishes kidney yang, promotes blood circulation and regulates qi.

Indications: Infertility due to kidney yang deficiency.

Diced Meat with Wolfberry

Ingredients: 250 grams of pork, 15 grams of wolfberry, 50 grams of tomato sauce.

Preparation method: Wash the meat, cut it into small cubes, pat it with the back of a knife to loosen it, add wine, salt, and wet starch and mix. Marinate for 15 minutes, then coat it in starch, fry it briefly in 60% to 70% hot oil, then take it out. When the oil is hot, fry it again and take it out. Fry it again when the oil boils until it is crispy. Grind the wolfberry into a paste and add tomato sauce, sugar, and white vinegar. After it becomes a sweet and sour marinade, pour it into the remaining oil and stir-fry until thick, then add the diced meat and mix well.

Efficacy: Replenishes kidney essence and nourishes yin and blood.

Indications: Infertility due to kidney yin deficiency.