Patient's question:
Not pregnant for half a year, checked at the hospital and found to have endocrine infertilityDoctor's answer:
Experts at our hospital introduce the key points of treatment for endocrine infertility:1. Preventing miscarriage. After treatment, patients may still have a high risk of miscarriage. Appropriately using progesterone, human chorionic gonadotropin (HCG), and other treatments can reduce this risk. Medications should be selected for their safety and effectiveness in preventing miscarriage.
2. Ultrasound monitoring of ovulation. After using ovulation-inducing drugs or in a natural cycle, it is best to use ultrasound to monitor ovulation. This begins on days 8–10 of the menstrual cycle, observing the appearance and development of the dominant follicle until ovulation occurs. The follicle diameter is approximately 20–24 mm (normal range: 14–28 mm), and most individuals have a similar maximum follicle diameter in different cycles. If the follicle diameter is less than 17 mm, the chances of pregnancy are very low. Additionally, ultrasound monitoring can clearly observe the thickness and morphology of the endometrium, which helps predict pregnancy.
3. Treating concurrent endocrine disorders. Patients with endocrine disorders combined with other medical conditions should also receive treatment for these disorders. Getting pregnant during a relatively stable endocrine state can reduce the risk of miscarriage and pregnancy complications.
4. Ovulation induction treatment. There are many types of ovulation-inducing drugs, each working through different mechanisms. Commonly used drugs include clomiphene citrate, human menopausal gonadotropin (HMG), follicle-stimulating hormone (FSH), and gonadotropin-releasing hormone (GnRH). The use of these drugs should be cautious and under the guidance of a doctor. Improper use not only fails to achieve the desired effect but may also lead to multiple pregnancies, miscarriage, or even ovarian hyperstimulation syndrome (a serious condition that can cause pleural effusion, ascites, and damage to liver and kidney function).
5. Strengthening corpus luteum function. Some cases of endocrine infertility in women are caused by insufficient corpus luteum function, and some patients may need to strengthen this function after ovulation induction treatment. Commonly used drugs include natural progesterone and HCG.
Hospital Tips: The above is an introduction to the treatment of endocrine infertility. Patients are advised to seek diagnosis at a formal hospital in a timely manner. The doctor will develop the most suitable treatment plan based on your specific condition.