For couples, they will face the problem of fertility after marriage, and children are the core of the family. However, due to various factors, it is not uncommon for couples to be childless after many years of marriage. At this time, we have to consider whether they are suffering from infertility. So, how to judge infertility? What tests should be done? Reproductive system examination In addition to general inspection and palpation, colposcopy and internal examination (bilateral or triple examination) are also required to obtain a preliminary understanding of the general condition of the vagina, cervix, uterus, fallopian tubes, ovaries and pelvic cavity, such as whether the size and position of the uterus are normal, whether there are lumps or tenderness in the uterus, fallopian tubes and ovaries, whether there is pain when lifting the uterus, and the mobility of the appendages. X-ray of the skull (sella turcica) Infertility examinations require first understanding whether there is a tumor or other lesion in the pituitary gland. Chromosome examination Some infertility is related to the presence of anti-sperm antibodies in the body, so sometimes relevant immunological tests are also needed. Immunological examination To understand the presence of antisperm antibodies, in addition to antisperm antibody testing, it can also be indirectly understood through post-coital tests, in vitro sperm penetration tests, etc. For female infertility, the following examinations need to be done: Physical examination: After inquiring about the patient's specific situation, a physical examination is required, mainly paying attention to whether there are systemic diseases, such as tuberculosis, inflammation, tumors and deformities, and whether there are symptoms of endocrine disorders, such as hirsutism, obesity, hair loss, weight, blood pressure, and development of secondary sexual symptoms. |
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