What are the factors leading to infertility and subfertility in Fuling, Chongqing?

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 than usual.
2. Changes in menstrual flow: Excessive or insufficient menstrual flow.
3. Extended menstrual period: Common in luteal phase deficiency and endometrial inflammation.
(2) Amenorrhea: No menstruation by age 18; or menstruation occurs but stops for more than 6 months consecutively. A significant number of infertility cases are caused by amenorrhea. The latter can be classified as uterine, ovarian, pituitary, or hypothalamic amenorrhea based on the affected area.
(3) Dysmenorrhea: Pain during menstruation may occur when conditions such as endometriosis, pelvic inflammatory disease, uterine fibroids, uterine malformation, or abnormal uterine position are present.
(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," "mouth ulcers 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 leukorrhea: Leukorrhea may increase in amount, turn yellow, have a smell, resemble curd-like or watery discharge, or be accompanied by itching or pain in the external genitalia. These conditions can also affect fertility to varying degrees.
(6) Abdominal pain: Chronic lower abdominal or bilateral abdominal dull pain, or lumbosacral pain, may occur when conditions such as pelvic inflammatory disease, uterine myitis, ovarianitis, endometriosis, uterine, ovarian, or tumor are present.
(7) Galactorrhea: Milk discharge from the breasts without lactation, either spontaneously or after squeezing, often suggests hypothalamic dysfunction, pituitary tumors, prolactinomas, primary hypothyroidism, chronic renal failure, or may be caused by birth control pills or antihypertensive drugs such as hydralazine. Galactorrhea is often accompanied by amenorrhea, leading to infertility.
Hope this helps. Wishing you a speedy recovery.

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