Flora If it changes over time, Dysmenorrhea Getting heavier, something to consider Uterus Endometriosis. There are quite a few female Endometriosis causes adhesions and fixation of the uterus and appendages, often causing pain during sexual intercourse, also known as vaginal pain. if flow of people Or intrauterine surgery, injury, and dilation and curettage can also affect endometriosis and form nodules in the myometrium, which is called adenomyosis. If the fallopian tubes are inflamed and menstrual blood flows backward, chocolate cysts may form.
This disease is quite difficult, and there are no absolutely effective drugs and methods at home and abroad. However, the following three countermeasures can be taken: 1. Measure anti-endometrial antibodies and CA125, and have it passed by an experienced doctor Gynecology Bimanual examination allows palpation of tender and bumpy nodules in the pelvic floor； 2. Treatment methods include non-surgical treatment, such as danazol. This drug is expensive and has a long cycle. We study this disease and traditional Chinese medicine Kidney deficiency , related to qi stagnation and blood stasis, use Yitui Ning and Qiang Huayu Pills for careful treatment for 2 to 3 months, and found that clinical Symptoms gradually disappear, the nodules become smaller, and the tenderness becomes less obvious； 3. For those with severe endometriosis, where cysts, masses, and adhesions have formed, it is recommended to surgically remove the ectopic masses and break down the adhesions, and at the same time, use the above-mentioned drugs.
am i immune infertility Qingdao Juanzi: I was pregnant two years ago and had a spontaneous abortion. After more than a year, I did not use contraception but did not get pregnant. Check the sex hormone progesterone one week before menstruation, which is the level in the luteal phase, estradiol is the level in the ovulation period, and check for anti-semen antibodies. sperm Coagulation test positive. What should I do?
The positive anti-sperm antibody test you mentioned is called immune infertility (secondary). Normally, if the mucous membrane of the reproductive tract is not damaged, anti-sperm antibodies will not form. Once formed, the cervical mucus becomes thick and thick, forming a mucus plug at the cervix. The sperm cannot penetrate, and the sperm and egg cannot meet to become a fertilized egg and then implant, develop and mature. ； Even if a few sperm penetrate and become fertilized eggs, they will be rejected and cause miscarriage. This situation accounts for 15% to 18% of female infertility and secondary infertility patients. The traditional treatment method is to use condoms for a long time and rely on the body's own metabolism to remove antibodies. The effect is uncertain. ； Another method is to take cholesterol-based hormones, such as prednisone, dexamethasone, etc. Because these drugs have long medication cycles and serious side effects (such as "moon face", "buffalo back", acne, etc.), they are not easy for patients to accept. It has been studied that this disease is often related to the accumulation of stasis under the blockage of damp and heat. In order to solve the side effects and achieve the desired effect, the anti-bacterial pills with the therapeutic principles of activating blood circulation and removing stasis, clearing away heat and drying dampness are used together with Fulxin. If used carefully for 3 months, the immune function can often be improved, antibodies can be eliminated, and satisfactory clinical results can be obtained. Of course, the endocrine indicators can be adjusted in time, which is beneficial to elective pregnancy.
Can I only do in vitro fertilization? Lanzhou Hongmei: I am 36 years old and ready to have a child. But because I had had many miscarriages before, I also had an ectopic pregnancy. My menstrual flow is very light and my prolactin level is high. The doctor told me to take bromocriptine and do a fallopian tube angiogram within a week after my period ends. He said that if the fallopian tubes are not unobstructed, IVF will be done. I would like to ask, if this is really the case, is there no other way?
Judging from the situation described, your problem is not a single one. Endocrine disorders cause scanty menstrual flow. One is high prolactin levels, and the other is recurrent miscarriage. Damage to the endometrium makes it difficult for implantation. Hyperprolactinemia directly affects estrogen and progesterone levels, leading to ovulation disorders. Repeated miscarriages result in fallopian tube damage exceeding 51%. In order to clarify the degree of fallopian tube obstruction as soon as possible, you can send X-ray films. I will make an evaluation and then provide comprehensive treatment. For example, for hyperprolactinemia, the combination of Jieyu Zhongyu Pills and bromocriptine, which soothes the liver and relieves depression, will cause the prolactin level to drop quickly and be relatively stable and difficult to rebound. ； However, if the level is too high, a pituitary CT examination or MRI examination will be performed to rule out tumors. Low menstrual flow should be adjusted in time, but reasonable adjustments should be made after the endocrine level is measured. In short, in your current situation, IVF is not the only option.
