What gynecological diseases can cause infertility in women?

Patient's question:

I have always had irregular menstruation. The doctor checked and said it was caused by endocrine disorders. So, I followed the doctor's advice and underwent some treatment. After a period of treatment and regulating the endocrine, my menstruation has improved. I am quite overweight and have a lot of body hair, and I have never been able to get pregnant.

Doctor's answer:

I. Uterine Atrophy: Conditions such as lactation, aging, excessive endometrial scraping, tuberculosis, anemia, metabolic diseases, and ovarian dysfunction can all lead to uterine atrophy, resulting in infertility.
II. Congenital Developmental Abnormalities: Congenital absence of the uterus, various uterine malformations, such as unicornuate uterus, bicornuate uterus, boat-shaped uterus, double uterus, uterine septum (transverse or longitudinal), and immature uterus, can all cause infertility.

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