Patient's question:
I got married three years ago. In the first two years, I hadn't quite adjusted to life with just the two of us, so we both wanted to give each other more time alone, which is why we didn't have children. But this year, we decided to have one. We've been working hard for half a year now, but I still haven't gotten pregnant. When I went to the hospital for a checkup, the result was that I have uterine infertility.Doctor's answer:
Hello, the causes of uterine infertility include:1. Uterine malformation: Patients with uterine malformation often show no obvious symptoms, but some may present with primary amenorrhea and menstrual disorders, such as oligomenorrhea, hypomenorrhea, dysmenorrhea, or dysfunctional uterine bleeding. Others may exhibit poor development of reproductive organs and breasts, such as hypogonadism, underdevelopment of breasts and secondary sexual characteristics, hypofunction of the ovaries, or anovulation. Some patients may even conceive, but due to the inability of the uterine cavity to expand properly, they are prone to miscarriage, premature birth, abnormal, abnormal placental position, or stillbirth.
2. Uterine underdevelopment: Uterine underdevelopment, also known as a juvenile uterus, refers to a uterus that remains smaller than normal after puberty. A small uterus alone is not necessarily a direct cause of infertility. Only when the ovaries are also underdeveloped is it a direct cause of uterine infertility.
3. Endometritis: Endometritis is often caused by the upward spread of infections from the external vagina. Due to congestion and edema of the endometrium, as well as large amounts of inflammatory exudate, numerous plasma cells and lymphocytes in the stroma, these changes can affect sperm movement, implantation of the zygote, and its development. Of course, during inflammation, the endometrium cannot provide sufficient nutrition for the implanting egg, and inflammatory exudates can also be harmful to sperm, leading to infertility.
4. Uterine adhesions: Adhesions in the uterine cavity, isthmus, and cervical canal are caused by trauma followed by infection.
5. Uterine fibroids: Clinical observations suggest that infertility caused by simple fibroids is relatively rare. Most cases of fibroid-related infertility involve fibroids as the primary issue combined with various physiological and reproductive endocrine disorders.