Does a small uterus affect fertility?

Patient's question:

Hello! I would like to ask if an abnormally small uterus affects fertility?

Doctor's answer:

Uterine hypoplasia cannot be treated at any age. During the developmental period, some targeted medications are effective; however, outside of this period, medications have little effect on uterine growth, and further development of the uterus becomes almost impossible. This highlights the importance of early detection and timely treatment.
Traditional Chinese Medicine (TCM) considers this condition primarily due to kidney deficiency, which may result from insufficient congenital kidney qi, postnatal nutritional deficiencies, or prolonged illness leading to blood loss and a lack of warmth and nourishment for the uterus. In treatment, nourishing yin and tonifying the kidneys, as well as promoting blood circulation and resolving stasis, can help the uterus and ovaries enlarge and develop, enabling pregnancy. Additionally, Mongolian medicine and Chinese patent medicines are used for artificial cycle therapy to stimulate the production of estrogen, progesterone, follicle-stimulating hormone, and luteinizing hormone in women, significantly improving egg quality and the implantation capacity of fertilized eggs.
Women with uterine hypoplasia should moderately increase their meat consumption. During the developmental period, it is essential to avoid (blindly restricting diet to lose weight), especially for underweight women during this stage. Excessive reduction in fat intake often affects estrogen levels in women. When estrogen cannot meet the body's normal needs, it inevitably hinders the development of female reproductive organs.

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