Factors such as social development, fast-paced life, high-intensity work, and environmental impact have led to a decrease in fertility in modern society. Outpatient clinics are able to reach more and more patients with fertility difficulties and fertility anxieties. In this issue, we will talk about infertility, hoping to alleviate the fertility anxiety of some people, and also help some friends who are really infertile.
On-line doctor: Zheng Li'e
The First Affiliated Hospital of Fujian Medical University
Associate Physician, Center for Reproductive Medicine
Topic: Talk about infertility
What is infertility
Simply put, infertility is a situation in which a woman is unable to conceive for some reason. From here, we can see that infertility is not actually a "specific disease", but a result caused by other diseases that affect pregnancy, which is a collective term.
Medically, infertility is a situation in which a woman of childbearing age does not take any contraception, has had 1 year of normal sex, and has not successfully conceived.
Is the incidence high?
What causes infertility
It can only be said that it is relatively high. The literature suggests that the incidence of infertility in mainland China is about 10%-18% and has been on the rise in recent years.
Among the causes of not being able to conceive a child, the female factor accounts for 40% to 55%, the male factor accounts for 25% to 40%, the husband and wife factor accounts for 20%, and the immunization and unexplained causes account for about 10%.
In addition to the woman, it is still very common for the man to have problems, which is why both husband and wife must be carried out together when infertility is examined.
What causes infertility in women?
The main factors of female infertility are: ovulation disorders, luteal insufficiency, fallopian tube factors, uterine factors, cervical factors, vulva and vaginal factors, endometriosis, immune factors, etc.
In addition, there are a small number of women who cannot find a clear cause of infertility.
How to predict the timing of ovulation?
(1) Observe cervical mucus, that is, to see the situation of vaginal discharge, if the vaginal discharge is increased and transparent and brushed, it is also one of the signs of ovulation.
(2) The relatively accurate method is to use ovulation dipsticks to test, if the test is positive after urine, it is likely to ovulate within 36 hours.
(3) The most accurate way is to go to the hospital to do ultrasound monitoring of ovulation.
How to measure basal body temperature
It is also recommended to predict the ovulation period by measuring the basal body temperature, the human body is awake and very quiet, and the state when it is not affected by factors such as muscle activity, mental tension, food and ambient temperature is called the "basic state", and the body temperature in the basic state is called "basal body temperature".
Basal body temperature is usually measured in the morning when you wake up and are not doing any activity.
Due to the difficulty of sticking to measurements, paying too much attention to this matter can also affect ovulation, so the basal temperature measurement method is not recommended to estimate the day of ovulation.
Doctor Introduction
Zheng Li'e
Deputy Chief Physician of the First Affiliated Hospital of Fujian Medical University; Vice Chairman of the Obstetrics and Gynecology Committee of the Straits Medical and Health Exchange Association; Vice Chairman of the Youth Committee of Obstetrics and Gynecology of the Fujian Medical Doctor Association; Standing Committee Member of the Lymphoma Committee of the Fujian Straits Medical and Health Exchange Association; Standing Director of the Tumor Rehabilitation Branch of the Fujian Straits Cancer Prevention and Control Science and Technology Exchange Association; Member of the Reproductive Branch of the Fujian Medical Association; Member of the Fifth International Eugenics and Fertility Committee; Presided over the Youth Project of the Department of Health and the Natural Fund of the Provincial Science and Technology Department. He has published more than 10 academic papers in SCI and domestic core journals, studied assisted reproductive technology in citic Xiangya Reproductive and Genetics Specialist Hospital and Xiangya Second Hospital, is good at assisted reproductive technology (IVF, artificial insemination), and focuses on reproductive endocrine diseases such as polycystic ovary syndrome, repeated implant failure, unexplained infertility, and recurrent abortion.