"Young, can't get pregnant"! Who understands this pain?

In 2022, the mainland experienced negative population growth for the first time, and the birth rate of newborns also fell below 10 million.

On the one hand, changing views of fertility among young people have led to low birth rates. On the other hand, the rising infertility rate in the mainland also makes young people "unable to give birth if they want to".

According to a 2021 survey by Peking University, the incidence of infertility among Chinese women has reached 18%, higher than the global average. At the same time, the quality of male sperm is also deteriorating. According to the statistics of Hunan Human Sperm Bank, the donor qualification rate has dropped from an average of 45.9% in 2006 to 17.9% in 2015. This means that even if you are young and want to give birth, you may not be able to give birth if you want to.

Young people under 30 years old

I want to give birth but I can't get pregnant

Zhang Qing (pseudonym), 28 years old this year, married her husband in 2020 and has not used contraception since marriage. In the first two years of marriage, the little couple was also busy with work and pressure, and they did not pay much attention to pregnancy. Last year, Zhang Qing and her husband came back to their senses: "Why haven't you been pregnant after being together for so long?" ”

Zhang Qing has always had menstrual pain and menstrual problems, and she thought that the problem might be here, so she went to the Chinese medicine center near her home for conditioning. When her mother-in-law heard this, she also hurriedly moved in with her, and got up every morning to boil Chinese medicine for her. However, after drinking one course after another course of traditional Chinese medicine, Zhang Qing never became pregnant.

When he first got married, Chen Chen (pseudonym) thought, "It's not just pregnancy, it's such a simple thing." Like Zhang Qing, Chen Chen also had problems such as unpunctual menstruation, low menstrual flow, obesity and hirsutism before marriage. Two years ago, Chen Chen went to the doctor and was diagnosed with polycystic ovary syndrome, and Chen Chen did not take it too seriously. "I have friends who are polycystic and still pregnant." But after three years of marriage and pregnancy without success, Chen Chen panicked.

Infertility in young people

Polycystic is the most common cause

Zhang Qing and Chen Chen are both young infertile patients treated by Ding Kuimin, director of the infertility department at Shenzhen Far Eastern Maternity Hospital, in the past year. The two have a common cause - polycystic ovary syndrome.

In April 2022, Zhang Qing detected tubal insufficiency obstruction, polycystic ovary syndrome and other conditions in Far Eastern Hospital. Ding Kuimin first arranged for her to unblock the fallopian tubes by laparoscopic surgery. After the channel of life was opened, Ding Kuimin carried out phased dialectical conditioning for Zhang Qing, helping her regulate endocrine and improve pregnancy conditions. At the same time, he told her to relax and rest regularly every day. After 3 months of conditioning, Zhang Qing harvested a good pregnancy. Chen Chen also successfully became pregnant after treatment and physical conditioning at Dr. Ding Kuimin.

According to reports, polycystic ovary syndrome is one of the main causes of infertility in women under the age of 30. "One-third of the patients I see who are infertile under the age of 30 have polycystic ovary syndrome." Polycystic factors can all contribute to stress, environmental factors, genetic factors, excessive use of emergency contraception, etc. People with PCOS are basically unable to ovulate normally and therefore have difficulty conceiving. Ding Kuimin pointed out that the problem of difficult fertility caused by polycystic ovary syndrome is easier to solve than other infertility factors. Doctors can help patients ovulate normally and get pregnant normally by inducing ovulation and regulating the secretion of body hormones. "So if you suspect that you are polycystic or have been diagnosed with polycysticism, don't make a fool of yourself, and quickly find a doctor to solve the problem."

The trend of younger infertility is obvious

Fertility assessment may be done before trying to conceive

Compared with polycystic ovary syndrome, infertility caused by premature ovarian failure, unexplained infertility and other factors will be relatively difficult to manage. With age, the decline of ovarian reserve and premature ovarian failure slowly become the main causes of female infertility. "Many women over the age of 35 are infertile due to decreased ovarian reserve and premature ovarian failure. The same problem is different in difficulty and effect at different ages. Women under the age of 30 have decreased ovarian reserve, which can also be improved to a certain extent through body conditioning. By the age of 35, the decline in ovarian reserve is difficult to reverse. ”

In recent years, premature ovarian failure has also become younger. Especially in a fast-paced city like Shenzhen, young people are stressed, irregular in life, and have large mood swings, coupled with autoimmune diseases, genetics, environmental and other factors, and ovarian function declines early, and eventually develops irreversible premature ovarian failure. As a veteran doctor who has been practicing in the field of infertility for more than 30 years, Ding Kuimin has witnessed the change in the difficulty of pregnancy from low to high in "30 years". "The matter of pregnancy has gradually changed from the original 'I want to get pregnant' to the current 'why I haven't conceived yet'." Medically terminating having a normal sex life without contraception for more than a year is called "infertility." This kind of "infertility" is becoming more and more common in Ding Kuimin's clinic.

She reminded that young couples under the age of 30 who have not conceived for more than a year should go to the hospital for fertility assessment. For couples over 35 years of age and pregnant candidates with decreased ovarian reserve, this "observation" period should be shortened to six months. Women over the age of 40 who are trying to get pregnant can directly do fertility assessment before preparing for pregnancy. "Fertility time is precious, don't waste it. During the examination, it is necessary to do a male and female examination, see the situation of both husband and wife, and then deal with the symptoms. The reporter learned that fertility assessment includes ovarian function assessment, fallopian tube examination, uterine attachment and other gynecological examinations.

"Generally, reproductive endocrinology and basic gynecological examinations are examined first, and then other examinations are performed according to the results of the patient's own examination." Ding Kuimin believes that the matter of childbirth should be taken seriously. "Women of childbearing age who are willing to have children should maintain good living habits, do not stay up too late, smoke less and drink less. In case of availability, early childbearing. ”

The reporter learned that in the just-concluded Far East Women's Health Culture Festival, many "difficult and infertile" women realized their dreams of childbirth through the public welfare funding program of the Far East Fertility Project. It is understood that eligible women who register for this activity will receive a free fertility package including routine vaginal discharge and vaginal ultrasound examinations and 2,000 yuan of hysteroscopic combined surgery.