1. the reason infertile women

The modern medical science thinks that couples cohabiting 2 years, no access to contraceptives and not pregnant, called infertility. After two years of the conception of never called infertility, Had the birth or abortion, and more than one year of continuous infertility as secondary infertility. According to the statistics, a normal reproductive couples, in the normal life and does not take any contraceptives, under the situation of three months about 60% ~ 70% of the woman conceived; 6 months about 75% ~ 80% of women's conception, 12 months pregnant rate 85%. Also some statistical within 1 year as the conception of 60%, 2 years the conception of 80%, 3 years about 90%. From the statistic results show that after 1 year, therefore, the highest tucking into the time for infertility as 1 year. In the time of infertility, international standards on obstetrics and gynecology federation has many scholars, according to standard of infertility as two years after the marriage, many scholars have also advocated by two years. American institute of infertility is standard. All above provisions are artificial. In combination with the fixed number of year to infertility, such as 2 years, can avoid the infertility jump to conclusions, unapt delay time of diagnosis and treatment. But to get married later (such as 30 or above) should be checked in advance, early detection problem, timely treatment. Causes of infertility is 2/3 is the impassable tube, always is the main reason, but since the universal attention to prevent infection and broad-spectrum antibiotics, causing tubal obstruction since the advent of obstetrics and gynecology has greatly reduce inflammation, On the other hand, know about endocrine diseases and inspection technology advances of ovarian function is not complete, caused by the diagnosis of infertility increase, so the ovary infertility is important.

Ovarian causes infertility approximately 15% ~ 25% of infertility, ovarian infertility caused by many factors:

• Ovarian partial factors such as congenital without oaries or immature type ovarian, ovarian function, polycystic oary, some premature ovarian tumors such as particle -- theca cells, testicular tumor cell can affect ovarian hormones and ovulation.
• Systemic diseases such as severe malnutrition, or lack of some important dietary nutrition, can affect ovarian function and cause infertility, Chronic diseases, metabolic diseases such as thyroid function or hyperthyroidism, diabetes, adrenal function disorder, etc. Can also cause infertility.
• Central effect: the hypothalamus, the pituitary, ovarian endocrine balance between pituitary tumor or scar, can cause ovarian function disorder and cause infertility, Mental factors such as spirit, but excessive anxiety or close to the hypothalamus, the pituitary, ovarian oviposit impact axis inhibition.

Besides ovarian factors can cause infertility, according to its location and cause can be divided into:

• Vulvar vaginal caused infertility: if not, vaginal horizontal hole cherry and congenital without vagina can interfere with such congenital malformation, sex, Severe inflammation, large white vagina can reduce sperm motility, engulfed sperm, shorten the time of conception and survival.
• Uterine caused infertility: about 10% ~ 15% of infertility. Normal uterine cervix, leaning back before the mouth, sexual intercourse after soaking in the semen of cervical mouth to conceive. If pour down after hysterectomy specimens, after mouth upward, can influence on conception, Due to the ovary progesterone secretion, adverse reactions to uterus secretion, Uterine dysplasia and endometrial inflammation such as tuberculosis, temperament intrauterine submucosal uterine fibroids all can affect yunkun implantation.
• Cervical caused infertility is more important, causes of infertility, accounting for approximately 10% ~ 20% infertility. Oviposit cervix, from the mouth of the diameter of open after menstruation 1mm to 3mm, cerical mucus in increasing ovulation, clear and transparent, pH 7.0 ~ 8.2 can counteract acidity, vaginal sperm activity and through. Due to chronic cervicitis or low levels of estrogen, cerical mucus sticky, variable, or contains a large number of leukocytes, against the sperm activity, can affect the conception and through. In addition, the cervical polyp or cervix fibroids can affect sperm, clogging the cervix, cervix strictures may also be infertile.
• Oviduct infertility due to tubal inflammation factors: caused obstruction, tubal adhesion of eggs and sperm to meet and infertility. Pelvic endometriosis may also make using oviduct inflammatory distortion and cause infertility.
• Other factors: the system after the check, both men and women of around 10% of no obvious infertility. In recent years, think and immune factors. In some infertile women found in the serum containing antisperm antibody, the antibody and semen can occur, these infertile couples agglutinate, if use condoms contraception after period of time, can make these antibodies disappear and pregnancy. Other couples such as blood feud, also somebody thinks that is likely to cause infertility. Sex chromosome aberration as for 45XXO or 46XXP karyotype chimeras - or, sometimes, but the normal appearance of patients ovarian oviposit dysplasia, no more than amenorrhoea, or request for infertility treatment.

2. the examination and the treatment of infertility preliminary discussion

The necessity of the couple's joint inspection treatment

Treatment of infertility treatment and why couples? The reason that can cause infertility is male, also can be in of the woman, sometimes with couples. So the doctor infertility patients first, best couples simultaneously.

It has the following advantages:

• To understand the situation, including both sides of the past and examination results can be found through, such as clues, but the further examination according to the specific conditions of the focus on a husband or wife. This can take many tortuous paths, less clear diagnosis for as soon as possible.
• Easy to both sides to mission and guidance, such as the basic conception of knowledge, the influence of factors, such as the common conception.

Uterine tube imaging indications

Uterine tube with certain devices are imaging agent will inject, from mouth to display specimens, uterine cervix tube and tube of a kind of examination method. With fallopian tube ventilation, liquid, compared to check about uterine cavity) can not only, still can understand the situation, whether tubal adhesion, such narrow deformity shape. And ventilation, check whether tubal liquid that can only flow.

For the time is generally tubal imaging menstrual clean 3-7 days prior to imaging, urine, and emptying of iodic allergic experiment.

For reasons unknown habitual abortion, through the imaging can understand the uterus is flabby, uterine mouth without lesions, for a primary or secondary infertility it can not know whether tubal uterine and malformations or pathological conditions exist, but also can indirectly whether tubal function and understanding. At the same time, imaging, uterine tube for TB and other salpigitis hold provided the necessary diagnostic basis.

How to see endometrial pathological examination report?

When a woman with menstruation disorders or suspected of uterine malignant tumors often need to GuaGong diagnostic and scrape the organization send pathology, also called on biopsy, (hereinafter referred to as biopsy, with definite diagnosis). So how to look after the pathological report results? Normally, pathology report may have the following kinds:

• Results show that the normal: take organization for hyperplasia, secretory endometrium.
• No oviposit period: the only type endometrial hyperplasia of different period of change into degree, such as endometrial glands capsule type too long, endometrial hyperplasia of adenomas type hyperplasia is too long, endometrial hyperplasia, atrophy type endometrium.
• Ovulatory menstrual disorder: according to different causes menstrual disorder disease inspection results are different. As corpus luteum insufficiency of menstrual disorder disease caused by inadequate secretion of endometrial glands and stroma, glands and synchronization, Endometrial irregular menstruation disorders caused fall for endometrial interstitial fluid, dense, gland atrophy, secretory endometrium and hyperplasia period mix.
• Blow out within an abortion, can contain decidua basalis organization and placenta fluff.
• PuTaoTai, uterine carcinoma: human placenta neoplastic cells are nourish hair growth, the proliferation of different level
• Endometrial carcinoma: endometrial glands cell proliferation, highly variable

Why should undertake amniotic fluid checks?

In the womb, fetal matrix floats in the amniotic fluid, many metabolic activities through amniotic fluid, amniotic fluid and fetal very close, check the amniotic fluid and amniotic fluid fetuses exfoliated cells, can reflect the pathological conditions. Fetus

The check often used for:

• Fetal maturity determination: processing high-risk pregnancy, to the safety, reducing the mortality, perinatal in antenatal understanding to the fetus, choose to maturity of childbirth. Mother
• Congenital anomalies of prenatal diagnosis: check whether hereditary disease, or fetal malformation.
• Determine fetal sex.
• Forecasting the fetus, so as to blood type are ready for treatment of maternal.
• Assist in making the diagnosis of membranes.
• According to the time for amniotic fluid check check project varies. As for the determination of the fetus gender and genetic diseases diagnosis model, in 16-20 gestational weeks, In order to determine fetal maturity, suspected the pregnany and blood shall not late in pregnancy.
• However, the examination is a kind of amniotic fluid injury, will have the following diagnosis methods, such as maternal complications: umbilical cord, placenta or damage the fetus, amniotic fluid leakage, abortion or premature, infections, etc.

Cerical mucus check what meaning?

Cerical mucus is cervical glands secretions. Have the normal ovarian function of women of child-bearing age in ovarian hormones and under the influence of cerical mucus, physical and chemical properties of a cyclical change. With the help of cerical mucus clinical observation cerical mucus crystallization check and test in order to understand the mucus wiredrawing ovarian function.

Cerical mucus crystallization check: under normal circumstances, in menstrual cycle, the first 8 ~ 10 days, mucous smear visible oviposit estrogen levels reached a peak of the typical sheep, smear the dentate crystallization. After ovulation, and gradually reduce crystallization crystallization of 22 days will no longer occur. How many sheep and the crystallization of the dentate or complete, estrogen level. In normal menstrual cycle, the dentate crystallization of mucus sheep and have certain regularity disappear. In general menstrual there appear not typical crystallization, along with the rising level of estrogen, change is low, is typical of typical sheep to oviposit the dentate crystallization, after ovulation and turns. A typical crystallization, that was not typical crystallization in menstrual cycle, the article 22 days to TuoYuanTi. Always try to predict clinical diagnosis of oviposit period, pregnancy, estimation results identify amenorrhoea type, prognosis and diagnosis function uterine bleeding.

Cerical mucus wiredrawing test: dip in cervical mucus, take slides by needle will pick, the vertical mucus, observe the maximum length of filamentous, or direct separate clip of mucus, observe the callipers wire length. Oviposit mucus to 7 ~ 10cm korah, after ovulation and above, namely thickened mucus without drawing phenomenon. This may be used to identify the causes and judge whether amenorrhea. Whoever cerical mucus thin transparent, ductility, high impact, the lack of estrogen said, without progesterone or ovulation. Mucus, like eggs for nearly oviposit phenomenon. If the viscosity, mucus, ovarian estrogen levels that low function is not complete.

What conditions require diagnostic GuaGong?

Diagnostic GuaGong abbreviation, uterine disease diagnosis is one of the important methods adopted, the purpose is the effective content (endometrium and other organizations) for pathological examination.

The indications are the following:

• Abnormal uterine bleeding, must confirm or exclusion of endometrial carcinoma, the cervix cancer,
• Menstruation disorders, need to understand endometrial and the reaction of sex hormones,
• Infertility, need to know whether the ovulation,
• Endometriosis is suspected tuberculosis,
• Because of endometrial uterine residual organization or not to fall by a long time not only bleeding diagnosed that has remedial effect, still.

Attending a small operation, wind are usually very safe. But few cases may also be a complication. Uterine bleeding, such as infection, etc. As long as there was sufficient preoperative to estimate, and various aspects of preparation, won't appear the complications.

3. and correct treatment, seek, actively with experts to help!

At present, in the global scope, about one-fifth of the couple met infertility infertility problems, when you have such problems, please remember, you have a lot of around you as you need help couples. You are not alone, not alone. Dr. Yang to tell you: must adopt a positive attitude, conquer the disease. Of course, you need professional help. Famous expert dr. Yang, sperm in eighteen years time, in the treatment of infertility, one of the areas of outstanding achievements. Thousands of couples for assistance, they dream of offspring. The essence of dr. Yang Dan ", "birth" powder, is internationally recognized in the world growth of successful male sperm granulocytopenia and Chinese female sterility. For human reproduction, escort!