Patient's question:
I've been married for several years, and so far, we haven't had any children. I'm very anxious about it and don't know if it's my problem. I've asked my husband to get checked, but he refuses. I'm afraid my condition will worsen. What should I do if I have immunological infertility?Doctor's answer:
Immune infertility generally does not have obvious symptoms. If a couple has been married without using contraception and has not conceived after normal sexual activity for over 2 years, and both partners do not have obvious reproductive system disorders, then it is necessary to consider how they may have developed immune infertility. Additionally, men may develop antisperm antibodies due to damage to the blood-testis barrier, leading to autoimmune cells attacking sperm. Therefore, men who have previously suffered from conditions such as vas deferens injury or testicular/epididymal inflammation should be more vigilant. Treatment should be selected based on the underlying cause, and assisted reproductive technologies such as artificial insemination may be used if necessary. Immune infertility patients can still become pregnant. Currently, there are many methods to treat immune infertility, but before treatment, it is necessary to test both partners for autoimmune reactions to identify the cause of the blood disorder.