Post Date May, 09 2023
After 2 to 3 years of marriage and cohabitation, men and women did not conceive. Influenced by feudal consciousness, they generally complain about women and only promote female examinations, while men ignore them. To understand the conditions for pregnancy, women must have normal ovulation, and the passage from the vagina to the uterus to the fallopian tubes must be smooth. After fertilization, eggs can be transported to the uterus. Men with an implantation and developmental environment must have a sufficient number of sperm with normal motility. After sexual activity, sperm is easy to combine and fertilize with eggs. Therefore, infertility is closely related to men and women. Clinical investigations have shown that male factors account for about 49% of the causes of infertility after marriage, while female factors account for about 51%.
The causes of male infertility are impotence (inability to erect or engage in sexual activity), premature ejaculation (ejaculation of semen outside the vagina during sexual intercourse), ejaculation (absence of semen during sexual activity), abnormal or absent sperm, etc. The common causes of female infertility are ovulation, blocked fallopian tubes, insufficient ovarian endocrine function after ovulation, and unfavorable vaginal or cervical conditions for sperm passage and survival.
This infertile couple needs to go to the hospital for a systematic examination. The general male examination method is relatively simple and the cause is easy to determine. For impotence, premature ejaculation, and inability to ejaculate after sexual intercourse, men can also know whether their sperm is normal and need to take semen for routine examination. Hospitals are generally responsible for diagnosis and treatment by surgery, and it is correct to take semen if there is no sexual intercourse within 5-7 days. When an abnormality is found during an inspection, it should be checked again at regular intervals. If the results are the same, a conclusion can be drawn.
Female examination is the responsibility of the gynecology department. There are many reasons for women, and various examination methods are related to specific dates of the menstrual cycle due to their purpose. Therefore, different examinations must be conducted on a certain date before and after menstruation. At the initial diagnosis, it is generally necessary to understand the medical history, pay special attention to menstrual and sexual conditions, conduct gynecological examinations, and have a preliminary understanding of the condition of the uterus, fallopian tubes, cervix, and vagina. Gynecological examination is generally normal for personnel, and other special examinations should be carried out according to the steps. The causes of female infertility are often related to ovulation and fallopian tube occlusion, and these two aspects are usually checked first.
In the case of inaccurate menstruation or low menstruation, it is necessary to know whether ovulation and endometrium are abnormal, and ovulation function can be measured. There are many clinical methods, and these methods need to be carried out continuously at the time of two menstruations: check the body temperature after waking up every morning, which is called the periodic vaginal cell coating and cervical mucus test of basal body temperature test, Take a sample every 2-3 days between two menstrual cycles. Within 6 hours after menstruation, take the endometrium for pathological examination. The smoothness of the fallopian tubes is checked to see if they are smooth, and it is done 4-8 days after menstruation is clean.
In short, both infertile couples need to undergo examinations and be transferred to other medical institutions for treatment. All previous examination results must be brought to avoid duplicate examinations and save time.
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