What are the causes of uterine infertility?

The uterus is the cradle of the baby. Any abnormality will affect the baby's healthy growth, or even lead to stillbirth, and eventually cause uterine infertility. Studies have found that the causes of uterine infertility include uterine hypoplasia, abnormal uterine position, uterine fibroids, endometriosis, congenital uterine absence, uterine malformation, intrauterine adhesions, endometritis, etc.

1. Uterine hypoplasia: It is often not the direct cause of infertility. Artificial cycle treatment can be considered if necessary.

2. Abnormal position of the uterus: For simple retroflexed uterus, the uterus can be restored to the anterior position through manipulation, and guidance on sexual intercourse between the couple can achieve good results.

3. Uterine fibroids: The infertility rate of uterine fibroids is 30% to 40%. The degree of infertility is related to the location, size, and number of uterine diseases. If combined with adnexitis and endometriosis, the possibility of infertility is greater. Surgical treatment (such as myomectomy) may be considered.

4. Endometriosis: Progesterone therapy, pseudopregnancy therapy, etc. can be used. If there is no significant improvement after 6 to 12 months of conservative treatment, conservative surgical treatment may be considered.

5. Congenital absence of the uterus and uterine malformation: They can be treated according to the specific situation, such as considering corrective surgery, etc., which generally does not fall within the scope of infertility treatment.

6. Intrauterine adhesions: Anti-tuberculosis treatment can be given to tuberculous patients. For patients with traumatic intrauterine adhesions, Hegar's dilator or blunt curette can be used to separate intrauterine adhesions, and if conditions permit, it can be performed under direct vision of the hysteroscope. After the operation, an intrauterine device is placed in the uterine cavity, antibiotics are used to prevent and treat infection, and estrogen promotes endometrial hyperplasia.

7. Endometritis: For non-tuberculous endometritis, most endometritis can heal on its own with the shedding of the endometrium during menstruation. If necessary, antibiotic treatment can be selected based on bacterial culture and drug sensitivity tests. Tuberculous endometritis can be treated with anti-tuberculosis therapy.