How is female infertility caused?

Patient's question:

How is female infertility thoroughly examined? Recently, I've been experiencing lower abdominal pain, especially during my period, and I'm very worried it might affect fertility. Additionally, I feel extremely cold and fear the cold. What could be the reason?

Doctor's answer:

Hello,
Genital factors: Congenital developmental abnormalities or acquired genital inflammation of the reproductive organs, such as vaginal malformations, vaginal stenosis, or hymen obstruction, can obstruct the patency and function of the perinatal lower tract from the vulva to the fallopian tubes, preventing sperm from swimming to combine with the egg, leading to infertility.
Immune factors: This refers to the presence of antisperm antibodies in the female reproductive tract or serum, which cause sperm agglutination, loss of vitality, or death, resulting in infertility.
Additionally, some infertile women have antisperm antibody-like substances in their serum that can hinder sperm penetration through the zona pellucida of the egg, leading to infertility.

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