여성 불임증과 임신 시도, Female infertility and trying pregnancy

Female infertility and trying pregnancy여성 불임증과 임신 시도

Infertility caused by any cause on the female side is called female infertility.

The causes of female infertility are far more numerous, diverse and complex than the causes of male infertility.

Pure gonadotropin deficiency (Kalman’s syndrome), pure luteinizing hormone deficiency Net follicle-stimulating hormone deficiency, congenital hypogonadism syndrome, pituitary gland disease Pituitary hypofunction, hyperprolactinemia caused by tumors, surgery, or radiation therapy Hormonal abnormalities such as diabetes, adrenal gland abnormalities, hypothyroidism, or hyperthyroidism Chromosomal abnormalities such as Turner syndrome Intercourse disorder due to vaginal stenosis, obstruction, or defect, vaginal neurotic spasm, hymen obstruction, etc.

Ovarian disorders such as ovarian dysfunction, anovulation, ovarian polycystic syndrome, etc.

Liver disease, kidney disease, mental disorder, central nervous system disorder, metabolic disorder, etc.

Congenital, acquired fallopian tube or fallopian tube obstruction or damage Due to endometritis or pelvic endometritis, etc.

Uterine body abnormalities such as uterine tumors Due to abnormalities in the cervix and cervix, etc.

For other reasons, Female infertility can develop.

Diagnosis

A woman’s past and present family’s medical history and sex life information are synthesized, a physical examination is performed, basic clinical tests such as a urine test, a blood test, and a blood type test are performed, and other tests are also performed if necessary.

Measure your basal body temperature to see when you will ovulate.

Laparoscopy is performed as needed to determine the presence or absence of endometriosis in the abdominal cavity and the patency of the fallopian tubes.

The blood levels of hormones such as thyroid-stimulating hormone, breast milk secretion stimulating hormone, gonadotropin, and follicle-stimulating hormone are tested as needed to determine the ovarian function and the presence or absence of ovulation. With an X-ray of the uterine fallopian tube contrast material, the fallopian tube and fallopian tube, which are connected from the inside of the uterus to the fallopian tube, are examined.

In other words, to find out whether it is closed or adhered, a contrast agent is put into the uterus, and an X-ray examination is performed as necessary to see if the contrast agent can pass through the uterus and both fallopian tubes normally into the fallopian tube. Infertility can result if there are sperm antibodies in the mucus secreted from the cervix that can reduce sperm’s ability to exercise and reduce fertility.

If necessary, tests to check for the presence of such sperm antibodies are also performed. Endometrial biopsy is done as needed to see if the endometrium responds properly to ovulation and hormones.

Other tests can be done. Copyright ⓒ 2014 John Sangwon Lee, MD., FAAP