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 because of 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-related 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 had a check-up for TORCH five tests, and the antibody for type 2 herpes virus was weakly positive. I didn't pay attention to it at the time, and then 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 achieved without eggs. Ovulation disorders in women are a common cause of infertility, where the absence of healthy eggs being released from the ovaries can lead to 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 toward the uterine cavity through the body's movement. After fertilization, the fertilized egg further divides. Therefore, if the fallopian tubes are abnormal, they may fail to transport eggs and sperm normally, leading to infertility in women.
Endocrine disorders: Endocrine imbalances can also cause abnormal ovulation in women. These imbalances can lead to fallopian tube dysfunction and amenorrhea. Polycystic ovary syndrome (PCOS) may cause hirsutism, masculinization, hyperprolactinemia, leading to luteal phase deficiency and functional bleeding.
Immune factors: Immune factors can affect both partners in a relationship. In women, this may result in the presence of antisperm antibodies in cervical mucus, which can affect sperm survival rates and normal penetration, causing infertility.