Patient's question:
What should I do if I have infertility? Which hospital for infertility is better in Changchun? Which hospital is more professional and more formal?Doctor's answer:
Infertility has become a social disease, severely affecting many families, and is divided into male infertility and female infertility. When adult couples live together with normal sexual life for more than a year without using any contraceptive measures and fail to conceive, it is referred to as infertility. Infertility caused by female factors or etiology is called female infertility, while infertility caused by male factors or etiology leading to a partner's infertility is termed male infertility. Today, among the couples affected by infertility, 70% are women, 20% are men, and 10% involve both male and female factors, or unknown etiology. Infertility is the responsibility of both partners. Only by facing the problem correctly can patients achieve successful conception and regain the right to become parents. The incidence of infertility also increases significantly with age. Generally, for couples where the female is aged 30-34, 1 out of every 7 couples is infertile; for those where the female is aged 35-40, 1 out of every 5 couples is infertile; and for those where the female is aged 40-44, 1 out of every 4 couples is infertile. Fertility rates drop significantly after the age of 40. Therefore, the optimal age for treating infertility should be before 35, as after this age, women's ovarian function begins to decline, chromosomes become more prone to mutation, and the incidence of fetal malformation also increases. There are many factors affecting female infertility, such as ovulation disorders, fallopian tube blockage, abnormal ovarian function, abnormal uterine function, and immune factors. Any abnormality in these factors can lead to infertility, with fallopian tube-related infertility accounting for 40% of female infertility cases.1. Ovulation Dysfunction: This is characterized by the absence of ovulation during the menstrual cycle, or the presence of ovulation but with inadequate corpus luteum function after ovulation.
2. Fallopian Tube Factors: Conditions such as excessively long or narrow fallopian tubes, fallopian tube inflammation leading to obstruction, hydrops, or adhesion can hinder the movement of sperm, eggs, or fertilized eggs. Fallopian tube diseases account for 25% of female infertility cases and are a significant cause of infertility.
3. Ovarian Factors: Factors affecting follicular development or egg release, such as incomplete ovarian development, inadequate corpus luteum function, premature ovarian failure, polycystic ovary syndrome, or ovarian tumors, can all lead to infertility.
4. Reproductive Organ Abnormalities: Congenital or acquired abnormalities of the reproductive organs can obstruct the reproductive tract from the vulva to the fallopian tubes, hindering the meeting of sperm and eggs, resulting in infertility.
5. Cervical Lesions: Congenital abnormalities, atresia, or stenosis of the cervical canal, polyps, erosion, tumors, or adhesions can affect sperm passage. The presence of anti-sperm antibodies in cervical mucus is unfavorable for sperm penetration or may completely render sperm inactive. Today, radiofrequency interventional therapy can effectively treat cervical inflammation, erosion, and polyp hypertrophy.
6. Immunological Factors: This refers to the presence of anti-sperm antibodies in the female reproductive tract or serum, causing sperm agglutination, loss of vitality, or death, leading to infertility. Additionally, some infertile women have serum containing antibodies-like substances against their own egg zona pellucida, which can hinder sperm penetration for fertilization and also cause infertility.
7. Sexual Dysfunction, Lack of Sexual Knowledge, Systemic Diseases, and Unknown Factors: These account for about one-third of the causes of infertility.