Patient's question:
Medical History Description: I am 25 years old and got pregnant right after getting married. I had my first abortion in my life. Last year, I wanted a baby but had a miscarriage at 69 days. Then, in June, I had a D&C surgery. After a six-month interval, I started pre-pregnancy tests in December, and all results were negative (all tests passed). However, my husband tested positive for Mycoplasma. After taking Doxycycline tablets and Roxithromycin sustained-release capsules for a week, his results turned negative. Yet, I have not been pregnant since then. My recent menstrual cycle is delayed, with less volume and dark color. My mood has become irritable. What should I do? Do I need further tests? If so, which tests should I have?Past Treatment and Effectiveness: On December 24, 2009, my workplace organized a reproductive health check-up. A routine vaginal discharge test revealed Candida. After confirming that I was not pregnant, I used a cleaning solution and...
Doctor's answer:
Hello, reproduction is a natural instinct of humans. If a person cannot conceive, it indicates there is a problem. The reasons that hinder conception may be related to the female, the male, or both. If you have been tested in a general hospital and told there is no issue, it could be due to an error in the test results or a lack of comprehensive testing. Infertility is not a simple disease; it is a comprehensive condition caused by over 150 different factors.Female factors: Issues with the ovaries, fallopian tubes, uterine cavity, cervix, vagina, and immune antibodies (over 20 types) are among the potential causes.
Male factors: Abnormal semen (such as incomplete liquefaction, inflammation, or acidic/alkaline imbalances), blocked spermatic ducts, genital malformations, and systemic conditions are possible causes. Additionally, there are shared factors between both partners: lack of sexual knowledge, immune factors (antibodies present in both partners), and psychological reasons (such as excessive stress).
Only through advanced modern medicine, which accurately analyzes multiple causes and provides targeted treatment, can infertility be cured.