Common causes of female infertility

Patient's question:

I have been married for many years, and my husband and I have been actively trying to conceive, but we have never received any good news. We are very anxious. What are the common causes of female infertility?

Doctor's answer:

Common causes of female infertility include:
1. Vulvar abnormalities: Conditions such as hermaphroditism, vulvar atrophy and adhesion, vulvar tumors, vulvar ulcers, and vulvar trauma can all affect fertility.
Vaginal abnormalities:
a. Developmental abnormalities: Such as hymen obstruction, stenosis, rigidity, congenital absence of the vagina, vaginal septum (vertical or horizontal), vaginal stenosis, or upper segment self-locking, all of which can lead to infertility.
Vaginal infections: Trichomonas, Candida, bacteria, and other infections can damage the vagina's natural protective function, alter the normal acidic environment, cause vaginal inflammation, reduce sperm motility, prolong sperm survival time, and result in temporary infertility.

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