In the absence of contraception, after more than 12 months of sex, without a successful conception, known as infertility, the term “infertility” means “infertile”. Women over the age of 35 are significantly less likely to become pregnant, and if they are unable to conceive for more than six months, they may consider an early visit.
There are two types of infertility, one is “primary infertility”, which means that she has never been pregnant. The other is “secondary infertility”, which means that she was pregnant, but has been unable to conceive for some reason.
The proportion of male factors is not low, so men and women should be checked at the same time when infertility occurs.
In order to explore the possible causes of infertility, the physician will arrange a blood test at the appropriate time. Common inspection items include.
For example, doctors sometimes check FSH and E2 values (called basic hormone values) at the beginning of menstruation (around the third day of menstruation) to determine whether the ovarian function is normal. In addition, when doctors suspect that there is a particular cause of illness, TSH, cortisol, insulin, and 17OHP are also tested, and these items are selected by the physician according to the patient’s individual circumstances. And because most of these checks are hormones, some numerical also will be affected by the menstrual cycle point varies, so the inspection time should strictly follow the doctor’s advice, may check the number again and again, need some patience. A small amount of blood is required for blood tests, which will not affect your health.
1. The indications
Infertility is caused by a number of lesions in the uterus and pelvic cavity, including endometriosis, pelvic adhesion, fallopian tube obstruction, uterine fibroids, and uterine malformations. And in addition to ultrasound scanning and uterine tubal photography, such as the aforementioned hysteroscope can examine the interior of the uterine cavity, and laparoscopic is thorough internal, can examine the abdominal cavity and pelvic cavity with the surface of the uterus, fallopian tubes and ovaries. Therefore laparoscopic indications include other inspection (such as ultrasound scans or uterine tubal photography) cannot determine the diagnosis, suspected in the pelvic cavity lesions such as endometriosis or pelvic adhesion, and unexplained infertility. The same laparoscopy can sometimes be performed at the same time when the equipment and conditions are appropriate, and can be both diagnostic and therapeutic.
2. Examination procedures and complications.
Laparoscopy is usually chosen after menstruation is over. Under intubation anesthesia, the patients with head down, in the high position, in great enough carbon dioxide, after surgery in patients with abdominal incision as needed one or several small incision, with laparoscopic operation instruments into the abdominal cavity, to examine them one by one. Usually, the inspection can be done in a short time, but if the abdominal adhesion is severe or the lesion is treated appropriately, the operation time will be prolonged. The patient will be discharged from the hospital on the same day or the next day after the operation. Laparoscopy is an invasive surgical procedure, but due to the surgical instruments were better in recent years, the operation technology of physicians more progress, so the laparoscopy is a safe procedure, but occasional complications and cannot avoid completely, including: bleeding, abdominal organs (such as the intestines, great vessels, etc.) injury, postoperative adhesion, the procedure to open operation, and the risk of anesthesia and so on