Patient's question:
Menstruation has been continuous for a month. I went to the hospital for a check-up and was told I needed an injection, but I didn't pay attention and didn't get it, so it stopped naturally. Since then, my period has been normal, arriving 1-3 days early each month. We had intercourse for three years without any contraception but remained unsuccessful in getting pregnant. In May 2008, I received injections for three months, one week each month. Today, I went to the hospital for a basic gynecological check-up. The examination revealed a clear vaginal canal with moderate white discharge, a clean and congested cervix, and tubal patency without reflux. There was significant lower abdominal pain. The doctor suggested I go home and try again next month. If I become pregnant, we will return for further examination. I would like to know what might be the reason for my infertility and whether this condition is difficult to treat.Doctor's answer:
Hello: Primary infertility is quite complex. You can have examinations conducted under the guidance of a doctor to identify the causes of infertility for both partners and start effective treatment as early as possible. The causes of infertility include:Female factors: Issues with the ovaries, tubal diseases, uterine cavity, cervix, vagina, and immune antibodies (over 20 types).
Male factors: Abnormal semen (e.g., non-liquefaction, inflammation, acidic or alkaline pH), blocked reproductive ducts, genital malformations, and systemic diseases. Additionally, there are shared factors for both partners: lack of sexual knowledge, immune factors (antibodies present in both partners), and psychological reasons (e.g., excessive stress).
Only through advanced modern medicine, which accurately analyzes multiple causes and provides targeted treatment, can infertility be cured.
Your partner is currently experiencing absent menstruation, so it is necessary to have early examinations of endocrine and ovarian function to promptly clarify the condition and begin targeted treatment. Based on your current situation, you may consider visiting a specialized infertility clinic for detailed examinations to identify the primary cause of infertility.
Wishing you good health!