Infertility

　　The causes of infertility may be in the woman, the man, or both. About 60% are due to female factors, about 30% are due to male factors, and about 10% are due to both. The main female factors include:
　　1. Vulvar and vaginal factors:Including abnormal development of the vulva and vagina, adhesion and scar stenosis after vaginal injury, affecting sperm entry into the cervix and affecting fertilization.
　　2. Cervical factors:The cervix is the pathway for sperm to enter the uterine cavity. The amount and nature of cervical mucus will affect whether sperm can enter the uterine cavity.
　　3. Tubal obstruction:Tubal obstruction is one of the main causes of female infertility at present. Tubal obstruction affects the normal combination of sperm and egg, causing women to be unable to become pregnant and ultimately leading to the inability to give birth. Tubal obstruction may be caused by various reasons, common ones include inflammatory infection, unclean sexual contact, and other reasons.
　　4. Kidney deficiency:This situation is usually caused by a combination of congenital deficiency and malnutrition after birth. In addition, if women have an overly frequent sex life, it can also cause kidney deficiency. The human kidney is the essence of the human body, and kidney deficiency will directly cause the body's quality to decline, and it will also affect the reproductive system function, making it difficult for women to become pregnant or prone to abortion.
　　5. Anovulation:The release of female eggs gives women the opportunity to become pregnant, so if women cannot normally release eggs, that is, anovulation, they are definitely unable to become pregnant.
　　6. Malnutrition:Pregnancy also puts a great burden on a woman's body. If a woman's physical quality is poor and she cannot meet the conditions for conception, she cannot give birth normally.
　　7. Abnormal leukorrhea:When there are diseases such as vaginitis, cervicitis (cervical erosion), endometritis, adnexitis, pelvic inflammation, and various sexually transmitted diseases, there may be an increase in leukorrhea, yellowish color, smell,呈豆腐渣样或水样，or accompanied by pruritus, pain, and other symptoms in the vulva, and these diseases can also affect fertility to varying degrees.
　　8. Symptoms before and after menstruation:Some women may experience a series of symptoms such as premenstrual breast tenderness, menstrual headache, menstrual diarrhea, edema, fever, sore mouth, acne on the face before menstruation, urticaria during menstruation, depression or irritability during menstruation, and other symptoms before and during menstruation, which are often caused by luteal dysfunction due to endocrine disorders, and can often lead to infertility.
　　9. Galactorrhea:Milk leakage from the breasts during non-lactation or after squeezing often indicates central hypothyroidism, pituitary tumors, prolactinoma, primary hypothyroidism, chronic renal failure, and other diseases, and may also be caused by oral contraceptives and antihypertensive drugs such as diuretics. Milk leakage often occurs with amenorrhea leading to infertility.

　　Infertility is a complication caused by various other diseases, without a clear primary disease. However, long-term infertility may lead to negative emotions such as depression in women, and may also affect family happiness.

　　Infertility is caused by many other diseases. The main symptoms are also related to which disease, such as: kidney deficiency, malnutrition, abnormal leukorrhea, lower abdominal pain, spontaneous or squeezed milk from the breasts during non-lactation, etc.

　　1. Understand physiological knowledge and treatment methods
　　Generally, girls will have menarche around the age of 14, which is a normal physiological phenomenon. It symbolizes that the reproductive system has gradually matured and does not require any alarm.

　　2. Pay attention to menstrual hygiene, prevent infection
　　If you do not pay attention to hygiene during menstruation, it is very easy to get various gynecological diseases, such as dysmenorrhea, dysmenorrhea, vulvitis, vaginitis, cervicitis, endometritis, adnexitis, pelvic inflammatory disease, etc., which will hinder post-marital pregnancy. These diseases will also hinder post-marital pregnancy.

　　3. Early treatment of dysmenorrhea should be done
　　Dysmenorrhea refers to the changes in menstrual period, menstrual color, and menstrual quantity, or the occurrence of amenorrhea, dysmenorrhea, metrorrhagia, etc. Most infertile women have these phenomena to varying degrees, so it can be said that dysmenorrhea is a signal of difficulty in conception. When a girl has dysmenorrhea, she should be treated early and try to get it cured once and for all, without leaving any后遗症.

　　4. Diet
　　Diet during menstruation is also very worthy of attention: prefer warm, avoid cold.

　　5. Delayed marriage for late menarche
　　Some girls have a late menarche, until after 18 to 20 years old, and the menstrual blood is less, light in color, and thin in quality. This indicates that the function of the reproductive system is relatively low. After marriage, not only can't get pregnant, but the menstrual condition will worsen until menopause or complications of other diseases. Therefore, for girls with delayed menarche and slow development, they should exercise seriously and properly take medication to adjust.

　　1. Ovarian-pituitary function examination

　　1. Basal body temperature measurement (BBT): Place the thermometer under the tongue for 5 minutes every morning in a resting state and record the temperature in a special table. The normal basal body temperature of women is biphasic under the influence of ovarian function. It can understand the date of ovulation, whether there is ovulation, and whether there is ovulatory dysfunction.

　　2. Sex hormone detection: serum LH, FSH, PRL, E2, P, T, T3, T4, etc. This test can detect the tiniest details in women with infertility of unknown cause.

　　2. Cervical mucus examinationUnderstand whether there is ovulation and the status of luteal function.

　　3. Endometrial pathological examinationThis is a method to understand whether there is ovulation or the status of luteal function. It can also understand the size of the uterine cavity and internal and external uterine cavity lesions such as tuberculosis and fibroids.

　　4. Fallopian tube patency testThe examination methods include hysterosalpingography, hydrotubation and ventilation test of fallopian tubes to understand whether the fallopian tubes are patent.

　　5. Immune testThe immune test can detect AsAb in the blood. Antibodies can cause sperm to agglutinate or lose vitality, leading to infertility.

　　6. Chromosome examination

　　7. Post-coital test and in vitro sperm penetration testUnderstand the activity of sperm.

　　What to eat for infertility

　　1. For infection, eat eel, winkle, water snake, needlefish, carp,麒麟菜, celery, sesame, buckwheat, rapeseed, red bean, mung bean.

　　2. For abdominal pain and distension, eat pork kidney, myrica, hawthorn, orange candy, walnut, chestnut.

　　3. Eat more foods with anti-tumor effects: horseshoe crab, sea horse, turtle, dragon pearl tea, hawthorn.

　　4. Eat goat blood, snails, sea asparagus, cuttlefish, watercress, lotus root, mushrooms, malan head, shi tou, huzi, persimmon cake for bleeding.

　　5. Consume an appropriate amount of zinc in the diet to multiply the chances of pregnancy. Common foods include oysters, animal livers, meats, malt, pumpkin seeds, and so on.

　　6. For those with malnutrition, eat more nutrient-rich foods such as milk, eggs, lean meat, green leafy vegetables, and so on.

　　7. Vitamin E can balance hormone production, carry more oxygen to the sexual organs, and multiply the chances of pregnancy.

　　Dietary taboos for infertility

　　1. Avoid smoking and drinking.

　　2. Avoid刺激性食物 such as scallions, garlic, peppers, and cassia bark.

　　3. Avoid greasy, fried, moldy, and salted foods.

　　4. Avoid warm and blood-activating foods such as mutton, dog meat, leeks, and pepper.

　　Treatment should be based on the causes found during the examination:
　　1. Actively treat acute and chronic inflammatory diseases of the reproductive tract.
　　2. For those with blocked fallopian tubes, tissue therapy can be performed, but strict aseptic operation must be ensured. It is also possible to inject antibiotics, hormones, and 654-2 injection into the uterine cavity, which can be more effective. In some cases, surgery can be considered to correct the condition.
　　3. For those with underdeveloped uterus, estrogen and thyroid hormone can be used to promote development; for those with a narrow cervical canal, cervical dilation can be tried.
　　4. For those with menstrual irregularity, a combination of traditional Chinese and Western medicine can be used for treatment to adjust the cycle and promote ovulation.
　　5. For those with low basal metabolic rate, thyroid hormone should be administered.
　　6. Try to correct congenital malformations; remove tumors if any.
　　7. Avoid frequent sexual intercourse, and have sex during the ovulation period based on the basal body temperature.
　　8. For patients with severe tuberculosis, heart disease, nephritis, and other diseases, active treatment should be considered, and pregnancy should not be considered temporarily.
　　9. Artificial Insemination, In Vitro Fertilization, for men without sperm, the sperm from the sperm bank can be injected into the patient's uterine cavity to achieve the purpose of pregnancy.