Patient's question:
I had a comprehensive medical check-up at the hospital before I got pregnant. The doctor I saw at the time said that my ovaries were not in good condition and that there seemed to be some issues. He also asked if I had noticed any abnormal sensations in my lower abdomen, but I didn't feel anything. I asked him what was actually going on. He said that my ovarian problems could lead to infertility. I want to understand what is really happening.Doctor's answer:
Hello, the causes of ovary-related infertility include the following:1. Congenital abnormalities of the ovaries: Common conditions include Turner syndrome, 47,XXX syndrome, true hermaphroditism, and testicular feminization. These are not within the scope of infertility treatment and are relatively common diseases.
2. Infertility caused by ovarian inflammation: This can be classified as tuberculous or non-specific ovarian parenchymal inflammation and periorchitis.
3. Abnormal ovarian position: Ovarian ptosis can alter the anatomical position of the fimbriae of the fallopian tubes, affecting the entry of oocytes into the fallopian tubes. Surgical options include shortening the ovarian ligament or fixing the ovarian mesentery to the posterior wall of the uterus. Adhesive uterine position abnormalities are often caused by inflammation or endometriosis, all of which can lead to infertility.
4. Ovarian tumors: Ovarian cysts may be associated with infertility. Polycystic ovarian syndrome, which secretes excessive estrogen, can cause persistent anovulation. Other functional tumors of the ovary include various hormone-secreting tumors, granulosa cell tumors that secrete female hormones, and theca cell tumors.
5. Ovarian endometriosis: Among infertility caused by endometriosis, the most common type involves lesions invading the ovaries.