Check the method of infertility?

summary

Infertility is a hot topic in recent years, the number of people with infertility continues to rise. People with infertility, want to treat infertility, then first of all to do a good job of infertility examination, find out the cause of infertility, and then targeted treatment. As a more complex disease to check the method of infertility? How can it be?

Check the method of infertility?

First: female infertility 11 steps: 1, check the ovary: is the place of egg production, ovarian dysplasia, inflammation, swelling can affect the egg generation and development, leading to infertility. 2. Check the uterus: it is the cradle of the baby. The fertilized egg should be implanted here and develop into a fetus. Many women suffer from infertility because of intrauterine inflammation, adhesion, endometriosis, uterine dysplasia and other problems. 3. Check the fallopian tube: it is the only channel to transport eggs, and it is also the place where sperm and eggs combine. Tubal inflammation, adhesion and obstruction are the main causes of female infertility. 4. Check the cervix: sperm into the uterus is the first pass, if the occurrence of tumor, inflammation, erosion or other infections, causing cervical obstruction, deformation, etc., will make pregnancy failure. 5. Check the vagina: vaginal urethra inflammation and infection, inflammatory cells and pathogens directly or indirectly affect the quality of sperm, leading to infertility. 6. Check ovulation function: female hypothalamus pituitary ovary axis dysfunction, umbrella end adhesion and other aspects of the problem, resulting in abnormal ovulation, can also lead to infertility or ectopic pregnancy. 7. Check pelvic: pelvic inflammation, infection and other chronic diseases, can cause genital lesions, dysfunction, and affect pregnancy. 8. Check sex hormone: abnormal sex hormone levels can cause endometrial dysplasia, ovulation disorders, egg not implantation, leading to infertility. 9. Check endocrine: thyroid, adrenal and other functional abnormalities, endocrine disorders, so that women irregular menstruation, ovulation disorders, amenorrhea caused infertility. 10. Check the immune factors: there are some couples, they check their reproductive organs, everything is normal, but they are not pregnant. Through investigation, it was found that there were adverse immune reactions such as antisperm antibody, anti egg antibody and anti zona pellucida antibody, which would kill sperm or inhibit the combination of sperm and egg, resulting in inability to conceive. 11. Check systemic factors: some women can be due to physical weakness, malnutrition, abortion sequelae, habitual abortion and other reasons caused by abnormal fertility.

Second: male infertility 10 step screening: 1, check the testis: is the production of sperm factory, if the testis dysplasia and other acquired diseases, can lead to infertility. 2. Check spermatozoa and vas deferens: spermatozoa and vas deferens are important organs for transporting and storing sperm. Inflammation, adhesion and obstruction can lead to infertility. 3. Semen examination: oligospermia, azoospermia, seminal death, low sperm survival rate, poor motility, sperm deformity, poor semen liquefaction are the main causes of male infertility. 4. Urethral examination: urethritis or bacterial virus infection, the pathogen will directly or indirectly affect the quality of sperm, resulting in infertility. 5. Epididymis examination: it is the place where the vas deferens and testis are connected and mature sperm is stored. The erosion of pathogenic microorganisms, inflammatory reaction or other diseases can lead to infertility. 6. Prostate examination: prostatic fluid accounts for 30% of semen, which is an important part to provide nutrients for sperm. Inflammation, infection, will make sperm survival rate is low, poor activity, oligospermia, dead sperm, poor liquefaction and other problems, resulting in infertility. 7. Check ejaculation function: common ejaculation dysfunction, such as non ejaculation, retrograde ejaculation, semen can not be ejaculated from the urethra, leading to infertility. 8. Check sexual dysfunction: male sexual dysfunction such as fistula, premature ejaculation, so that sperm can not normally shoot into the depths of the female vagina, resulting in pregnancy. 9. Check sex hormone: sex hormone level imbalance, androgen reduction, resulting in spermatogenic dysfunction, so that sperm can not be produced normally, resulting in pregnancy. 10. Check the immune factors: Semen antigen substances and human immune system have adverse reactions, the emergence of antisperm antibodies, leading to infertility.

Third: the common factors of husband and wife are mainly some immune factors. First of all, we should let the man do semen examination. Women should do an ovulation test to determine whether the patient has ovulation. The main cause of female infertility is abnormal ovulation, because tubal dysfunction or reproductive organ malformation can also cause infertility. First of all, check from these three aspects. If ovulation is normal, we can check the reproductive organs, do B-ultrasound or choose hysteroscopy to evaluate the uterine cavity, and then do salpingography.

matters needing attention

Inspection points: 1. Both husband and wife check together to make clear the cause of infertility, which is conducive to the same diagnosis and treatment, and guide the clinical treatment. 2： Check whether women have gynecological diseases; The development of external genitalia, whether there are deformities, inflammation, tumor and pelvic organs adjacent to the mass and inflammatory lesions on the internal genitalia compression and influence. 3： Determine whether the female fallopian tube is unobstructed, whether normal pregnancy. 4： Determine the scope of suspicious lesions, guide the location of biopsy, improve the positive rate of biopsy. 5： Check whether there are oligospermia and asthenospermia, dead sperm, azoospermia, low sperm motility, sperm deformity, semen liquefaction and other abnormalities in men. 6： To determine whether there are organic lesions in the male reproductive system, such as tumor, inflammatory effusion, calcification, etc.