Patient's question:
Three years without pregnancy, a check-up said I have uterine disease.Doctor's answer:
Okay, here is the English translation of the provided text, following your instructions:I. Uterine Malformations
Whether uterine malformations affect fertility mainly depends on the type and severity of the malformation. Most patients with such conditions do not have obvious subjective symptoms, but they can cause infertility because the malformation affects the implantation of the fertilized egg. Sometimes, even if pregnancy is achieved successfully, it can be very easy to experience miscarriage or premature birth due to the inability of the uterine cavity to expand accordingly.
II. Uterine Hypoplasia
Generally, uterine hypoplasia is also known as an immature uterus, often referring to a uterus that remains smaller than normal after puberty. A small uterus on its own is not necessarily a direct cause of infertility. If the ovaries are also underdeveloped, the chances of fertility are significantly reduced.
III. Abnormal Uterine Position
Normally, the position of a healthy uterus is often antipropulsion (with the body slightly forward and the cervix downward and backward). After intercourse, semen accumulates in the posterior fornix of the vagina, making the downward-pointing cervix easily immersed in semen, which facilitates the upward movement of sperm. However, if the uterus is in a retroverted and retroflexed position, the cervix is often in an upward-pointing state, making it less likely to be immersed in semen, severely affecting fertility. Of course, an excessively antipropulsion position is also unfavorable for pregnancy.