Patient's question:
Detailed medical condition and consultation purpose: I haven't been using contraception for nearly a year, but I haven't gotten pregnant. Is it due to any inflammatory condition? I once had a check-up on my discharge, and the results showed no problems, but sometimes I feel a bit itchy at the vaginal opening. If I go to the hospital for another check-up, what other tests should I have? Due to work reasons, most sexual intercourse usually happens on weekends. Will this make a difference?Duration of the current illness: One year
Current general condition: None
Medical history: I have been tested for TORCH, and the antibody for type 2 herpes virus was weakly positive. I didn't pay attention to it at the time, and I retested after six months.
Doctor's answer:
The causes of infertility are many, please check and confirm. What are the reasons why women cannot get pregnant?Ovulation disorders: Normal pregnancy in women cannot be separated from eggs. Ovulation disorders in women are a common cause of female infertility, where the absence of normal and healthy eggs being released from the ovaries can lead to female infertility.
Tubal dysfunction: Normally, a woman's eggs are released from the ovaries. After the eggs are released from the ovaries, they travel to the fallopian tubes and move towards the uterine cavity through the body's movement. After fertilization, the fertilized egg further divides. Therefore, if the fallopian tubes are abnormal, it may lead to the fallopian tubes failing to transport eggs and sperm normally, resulting in female infertility.
Endocrine disorders: Endocrine disorders can also cause abnormal ovulation in women. These disorders can lead to abnormalities in the fallopian tubes and result in amenorrhea. Polycystic ovary syndrome can cause hirsutism, masculinization, hyperprolactinemia, leading to incomplete corpus luteum function and functional bleeding.
Immune factors: Immune factors can occur in both partners. In women, this may result in anti-sperm antibodies appearing in cervical mucus, affecting the normal survival rate of sperm and their ability to penetrate normally, leading to infertility.