Ms. Xie of Qingdao Pingdu has been married for more than 3 years, and she has been "creating people behind closed doors" at home for 2 years, but she has not been pregnant. Went to the local hospital for tubal fluids, menstruation is normal, but why do you still not have children? It is really difficult for her to get pregnant in this situation.
◆ I can't get pregnant for 2 years, and I suspect that there is a problem with the fallopian tubes
Ms. Xie is 32 years old, to Pingdu local hospital for examination, because her menstruation is still quite normal, so suspect that there is a problem with the fallopian tubes, did a tubal fluid examination, but after the liquid, go home to try to conceive for several months or can not get pregnant, the family are also anxious, the two decided to Go to Qingdao for a detailed examination.
Ms. Xie's two sons came to the clinic for detailed consultation, arranged for a salpingogram examination and a small tadpole examination for the man, the man had no problem, and Ms. Xie had no problem with the fallopian tubes. In fact, Ms. Xie also had no history of miscarriage and gynecological inflammation during the consultation process, and the fallopian tubes should also be unobstructed when the local hospital was fluided last time.
Tubal fluid is not able to visually see the fallopian tubes, but through the doctor's feel to make a judgment, the diagnosis is more subjective, and it is impossible to see the shape of the fallopian tubes, the location of the blockage, etc. And the salpingogram can clearly see the uterus, the situation of the fallopian tubes, the location of the blockage, whether the fallopian tubes are adhesion, or unobstructed, or blocked, or water can be clearly seen.
Since Ms. Xie's fallopian tubes are fine, it is necessary to investigate other aspects of the problem. Because Ms. Xie has a normal menstrual period, so the endocrine and ovulation have not been checked, I think it is necessary to check it for the sake of safety, this test, did find a problem. Although Ms. Xie's menstruation is still normal, she does not ovulate at all, which is anovulatory menstruation.
After further detailed examination, it was found that Ms. Xie belonged to the "unruptured follicular flavinylation syndrome", which is a special type of anovulatory menstruation and one of the important causes of infertility. "Unruptured follicle flavinylation syndrome" is when the follicle matures but is not excreted, and the in situ flavin is formed, forming a luteum and secreting progesterone, resulting in a series of changes similar to the ovulation cycle. Therefore, it also appears that Ms. Xie feels that menstruation is every month, but in fact, there is no ovulation at all. In fact, if Ms. Xie carefully observes her menstruation, she should find that her menstrual cycle is prolonged.
◆ Symptomatic treatment, monitoring of ovulation induction, good pregnancy is coming
The cause is clear, in the treatment of the combination of traditional Chinese and Western medicine, traditional Chinese medicine comprehensive conditioning of body functions, and targeted conditioning of endocrine, improve the ovarian condition, the overall improvement of the reproductive environment, improve the fertility rate. After more than 4 months of treatment, ovulation induction began, and Ms. Xie regularly came to the doctor to monitor the development of follicles and try to conceive at the right time. At that time, the first induction cycle failed to try pregnancy, and the second induction cycle successfully became pregnant.
Through this case, I would like to remind everyone that many of the causes of infertility are more complicated, and many problems are not as simple as the surface phenomenon, just like Ms. Xie's anovulatory menstruation, do you think that there must be ovulation when there is menstruation? In fact, this sentence should be reversed to say that there must be menstruation when there is ovulation, but there is not necessarily ovulation when there is menstruation. If you can't conceive a baby, you must go to the hospital for a detailed examination to clarify the cause, and symptomatic treatment is the key.