What are the reasons for infertility in Fuling, Chongqing?

Patient's question:

What are the reasons for infertility in Fuling, Chongqing?

Doctor's answer:

Causes of infertility:
(1) Menstrual disorders:
1. Changes in menstrual cycle: Menstruation may come earlier or later than usual.
2. Changes in menstrual flow: Excessive or insufficient menstrual flow.
3. Extended menstrual period: Common in luteal phase deficiency and endometrial inflammation.
(2) Amenorrhea: No menstruation by the age of 18; or menstrual cycles stopping for more than 6 months after menarche. A significant number of infertility cases are caused by amenorrhea. The latter can be classified into uterine, ovarian, pituitary, or hypothalamic types based on the affected area.
(3) Dysmenorrhea: Pain during menstruation may occur when conditions such as endometriosis, pelvic inflammatory disease, uterine fibroids, uterine malformation, or abnormal uterine position exist.
(4) Symptoms before and after menstruation: Some women experience periodic symptoms such as "breast tenderness before menstruation," "headache during menstruation," "diarrhea before menstruation," "edema during menstruation," "fever during menstruation," "mouth sores during menstruation," "facial acne before menstruation," "urticaria during menstruation," or "depression or irritability during menstruation." These symptoms are often caused by endocrine disorders and luteal phase dysfunction, which can lead to infertility.
(5) Abnormal leukorrhea: Increased leukorrhea with yellow color, odor, curd-like or watery consistency may occur with conditions such as vaginitis, cervical erosion, endometritis, adnexitis, pelvic inflammatory disease, or sexually transmitted infections. These diseases can also affect fertility to varying degrees.
(6) Abdominal pain: Chronic lower abdominal or bilateral flank pain, or lumbosacral pain, may occur with conditions such as pelvic inflammatory disease, uterine myitis, ovarian inflammation, endometriosis, or tumors of the uterus or ovaries.
(7) Galactorrhea: Milk leakage from the breasts during non-lactation periods, either spontaneously or after squeezing, often suggests hypothalamic dysfunction, pituitary tumors, prolactinomas, primary hypothyroidism, chronic kidney failure, or may be caused by birth control pills or antihypertensive drugs such as reserpine. Galactorrhea often occurs alongside amenorrhea, leading to infertility.
Hope this helps. Wishing you a speedy recovery.

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