Patient's question:
Medical History: Married for six years, cohabiting with normal sexual life but childless. Previous ultrasound examination revealed no abnormalities in the uterus or adnexa. Hysterosalpingography showed patent fallopian tubes, and follicle monitoring and endometrial thickness measurements were normal. Male semen and prostatic fluid tests were also normal.Duration and Onset of Current Illness: Infertility for three years.
Current General Condition: All conditions are normal except for infertility.
Medical History: Treated for infertility for over three years.
Previous Diagnoses, Treatments, and Outcomes:
Doctor's answer:
1. Hypothalamic disorders. They are classified into functional and organic types. The former includes idiopathic hypothalamic amenorrhea, psychogenic amenorrhea, functional hyperprolactinemia, and anorexia nervosa; the latter includes hypothalamic tumors, post-encephalitis, and post-traumatic head injuries.2. Pituitary dysfunction. Pituitary adenomas, Sheehan syndrome, tuberculosis or syphilitic granulomas.
3. Ovarian dysfunction. This includes primary ovarian amenorrhea and secondary amenorrhea. The former includes Turner syndrome, among others. The latter includes premature ovarian failure, organic damage to the ovaries, such as functional loss after radiation exposure, and destruction caused by tumors or inflammation.