Patient's question:
I have been married to my husband for 6 years. We have always really wanted to have our own child, but after taking many medications, we still couldn't get pregnant. This has made my husband very anxious. How much we hope to have our own child.Doctor's answer:
Female infertility examination items can include: a general physical examination, reproductive system examination, ovulation examination, endometrial examination, endocrine function tests, fallopian tube examination, immunological examination, cranial (sellar) X-ray examination, chromosomal examination, etc. However, it is mainly necessary to tailor the infertility examination based on individual circumstances.1. Menstrual history: Menarche, cycle, duration of menstruation, presence of dysmenorrhea and its severity, dates of the last three menstrual periods;
2. Marital and fertility history: Age at marriage, history of contraception (including methods and duration), history of induced abortion (including surgery date, gestational age at surgery, and method), history of remarriage, etc. Past fertility history, including history of dystocia and postpartum hemorrhage;
3. Chief complaint: Duration of infertility, menstrual conditions, symptoms such as obesity and galactorrhea;
4. Current medical history: Menstrual abnormalities and treatment history, abdominal pain, sexual history, previous infertility examinations and results;
5. Past medical history: Endocrine diseases, metabolic diseases, mental illness, and medication history; hypertension and digestive system diseases and medication history; history of inflammation and infection, tuberculosis; history of exposure to X-rays and harmful substances; surgical history, etc.
A general physical examination includes: growth and development, height and arm span, weight, thyroid, heart, abdominal examination, and special examinations for secondary sexual characteristics and galactorrhea. In addition to the above examinations, Fuzhou Southeast Maternal and Child Hospital infertility experts introduce that routine gynecological examinations are also required, such as:
1. Physiological development: External genital development, distribution of pubic hair, clitoral size, vaginal color, cervical mucus characteristics, cervical inflammation, position, size, and mobility of the uterus, thickening of adnexa, size, surface texture, mobility, and tenderness of masses, etc.
2. Sex hormone testing: Serum LH, FSH, PRL, E2, P, T, T3, T4, etc. This infertility examination item can clarify mild causes of unexplained infertility in women.
3. Fallopian tube patency test: Tubal irrigation, tubal insufflation, or hysterosalpingography with iodized oil.