Patient's question:
What are the factors or causes of infertility in Chongqing Fuling?Doctor's answer:
Factors or causes of infertility:(1) Menstrual disorders:
1. Changes in menstrual cycle: Menstruation may come earlier or later.
2. Changes in menstrual flow: Excessive or insufficient flow.
3. Extended menstrual period: Common in luteal phase deficiency and endometrial inflammation.
(2) Amenorrhea: No menstruation by age 18; or menstruation ceases for more than 6 months consecutively after it begins. A significant number of infertility cases are caused by amenorrhea. The latter can be classified as uterine, ovarian, pituitary, or hypothalamic based on the affected site.
(3) Dysmenorrhea: Pain during menstruation may occur when conditions such as endometriosis, pelvic inflammatory disease, uterine fibroids, uterine malformation, or abnormal uterine position exist.
(4) Symptoms before and after menstruation: Some women experience periodic symptoms such as "breast tenderness before menstruation," "headache during menstruation," "diarrhea during menstruation," "edema during menstruation," "fever during menstruation," "oral candidiasis during menstruation," "facial acne before menstruation," "urticaria during menstruation," or "depression or irritability during menstruation." These symptoms are often caused by endocrine disorders and luteal dysfunction, which can lead to infertility.
(5) Abnormal vaginal discharge: Increased discharge, yellow in color, with an odor, resembling curd or watery in consistency, or accompanied by itching or pain in the external genitalia may occur when conditions such as vaginitis, cervical erosion, endometritis, adnexitis, pelvic inflammatory disease, or sexually transmitted diseases are present. These conditions can also affect fertility to varying degrees.
(6) Abdominal pain: Chronic lower abdominal or bilateral flank pain, or lumbosacral pain, may occur when conditions such as pelvic inflammatory disease, uterine myitis, ovarianitis, endometriosis, or tumors of the uterus or ovaries are present.
(7) Galactorrhea: Milk discharge from the breasts without lactation, either spontaneously or after compression, often suggests hypothalamic dysfunction, pituitary tumors, prolactinomas, primary hypothyroidism, chronic kidney failure, or may be caused by birth control pills or antihypertensive drugs such as reserpine. Galactorrhea is often accompanied by amenorrhea, leading to infertility.
Hope this helps. Wishing you a speedy recovery.