Patient's question:
Patient Age: I am a 25-year-old married womanDetailed Condition and Purpose of Consultation: I have been married for 1.5 years, and we have not been able to conceive yet. I have never been pregnant either, and I don’t know what is wrong with me. Please advise.
Duration and Onset of Current Illness: None
Current General Condition:
Medical History: None
Previous Diagnoses and Treatment History and Outcomes: I have undergone most of the tests myself. I had an ultrasound, which showed no issues, and a blood test was also done for me, including a sexually transmitted disease check, but everything was normal.
Additional Tests:
Doctor's answer:
Hello, 1) For women:① When sexually transmitted diseases cause vaginitis, a large number of pus cells can consume sperm. This reduces sperm vitality, shortens sperm lifespan, decreases sperm quantity, and lowers sperm quality.
② When sexually transmitted diseases cause cervical inflammation, the purulent discharge containing bacteria can kill sperm. Even if some sperm survive, it is difficult for them to pass smoothly through the cervix into the uterine cavity.
③ Sexually transmitted diseases-induced endometritis alters the normal environment inside the uterus. Even if surviving sperm combine with eggs to form a zygote, it cannot implant and develop in the uterus.
④ Sexually transmitted diseases-induced salpingitis can cause tubal blockage, preventing sperm and eggs from meeting and combining. This is a major cause of female infertility.
⑤ Sexually transmitted diseases-induced oophoritis can affect the growth, development, and release of eggs.
2) For men:
① Affects semen quality; infections of the urethra and prostate can impact sperm vitality.
② Urethral stricture is a serious complication after contracting sexually transmitted diseases, often leading to recurrent urinary and reproductive tract infections that affect fertility, especially when accompanied by recurrent attacks of prostatitis and epididymitis.
② Affects sperm discharge: Prostatitis can cause edema of the ejaculatory duct, leading to obstruction due to pressure; epididymitis can cause edema of the vas deferens, even obstruction, and atrophy of adjacent testicular tissue. Severe cases may present with oligospermia or even azoospermia, resulting in infertility.
It is recommended that you and your spouse actively seek medical examination to identify the cause and undergo treatment.