Patient's question:
Female, 35 years old, married for nearly 4 years. She had a natural miscarriage at 6 weeks of pregnancy before marriage and has been unable to conceive since. Since last year, she has undergone various infertility tests. The fallopian tube results showed patency, but there was resistance during the hydrotubation. Her menstrual cycle and ovulation were normal, and her six sex hormone tests were normal. Her endometrial antibody test was negative, and her antisperm antibody test was also negative. In March of this year, she visited a deputy chief physician at a traditional Chinese medicine hospital. She re-examined her and found excessive secretions and nodules in her lower abdomen (she usually experiences menstrual cramps, occasionally quite severe). She suggested that she might have endometriosis. She recommended laparoscopic surgery, but then added that she could not guarantee that infertility was due to this reason, especially since she is 35 years old. Later, she did not undergo surgery. After another six months passed, she still could not conceive, and she became anxious. Because all her other infertility tests were normal.Doctor's answer:
Hello, if a sexually active, cohabiting couple with normal sexual life and no contraception has not achieved pregnancy within 2 years while the male's fertility is normal, it can be considered female infertility. There are multiple potential causes, with the most common being fallopian tube blockage. Other conditions such as uterine disorders, ovarian disorders, endocrine diseases, and immune disorders can also lead to infertility. Treatment is based on the underlying cause and involves symptomatic measures, and in most cases, fertility can be restored.