Patient's question:
Three years without pregnancy, a check-up said I have uterine disease.Doctor's answer:
Okay, here is the translation, following your instructions:I. Uterine Malformation
Whether general uterine malformations affect fertility mainly depends on the type and severity of the malformation. Most of these patients do not have obvious subjective symptoms, but they can cause infertility because the malformation affects the implantation of the fertilized egg. Sometimes, even if pregnancy is achieved successfully, it is very easy to have a miscarriage or give birth prematurely because the uterine cavity cannot expand accordingly.
II. Uterine Hypoplasia
Generally, uterine hypoplasia is also known as an immature uterus, often referring to a uterus that remains smaller than normal after puberty. A small uterus alone does not necessarily have to be the direct cause of normal infertility. If the ovaries are also underdeveloped, the chances of fertility are not high.
III. Abnormal Uterine Position
Generally, the normal position of the uterus is often antipropulsion (anteriorly inclined), with the uterine body slightly forward and the cervix downward and backward. After sexual intercourse, because semen accumulates in the posterior fornix of the vagina, the downward-pointing cervix is easily immersed in semen, facilitating the upward movement of sperm. However, if the uterus is in a retroverted and retroflexed position, the cervix is often in an upward-pointing state, making it difficult to be immersed in semen, severely affecting conception. Of course, if the uterus is excessively antipropulsion (anteverted), it is also unfavorable for pregnancy.