What to do if you are infertile for the second time

Now the country advocates having a second child, so many couples will choose to have a second pregnancy and give their baby another companion. However, for some people, it may be difficult to conceive a second child, because most of the couples who have a second child are older. The older they are, the lower the survival rate of male sperm is, and conception will be difficult. So what should we do if the second child is infertile?

What tests should be done for second pregnancy infertility

First, do angiography to see whether the fallopian tubes are unobstructed and monitor the development of follicles.

Pregnancy is a chain of events that are closely linked. The uterus and endometrium, fallopian tubes, ovulation, antibodies, ovaries, endocrine system, semen and sperm quality, etc., any abnormality in any of these links will directly affect pregnancy. The specific examination items are mainly determined by the doctor after the face-to-face consultation based on the physical condition and specific medical history. The doctor will not arrange unnecessary examinations.

Go to a regular specialist hospital for a check-up, identify the cause, and receive timely treatment.

If no contraceptive measures are taken, this is secondary infertility. Gynecological inflammation, fallopian tube obstruction, endocrine disorders, ovarian lesions, uterine factors, immune abnormalities, etc. can all cause infertility. Go to the hospital for examination to determine the cause and receive symptomatic treatment.

If you are still infertile after not taking any contraceptive measures for half a year to a year, you should get checked: Men: abstain from sex for 3-5 days and have a semen routine check. For women: Check endocrine function with electrochemiluminescence 3-5 days after menstruation; perform colposcopy, dynamic digital hysterosalpingography and vaginal four-dimensional color Doppler ultrasound 3-5 days after menstruation ends. Generally, the diagnosis can be confirmed. If the cause cannot be found, further examination by electronic hysteroscopy or laparoscopy is required.

In this case, a radiography examination should be done first to see whether the fallopian tubes are unobstructed, and an ultrasound examination should also be done to see whether the endometrium is thin to find out the cause.

What are the causes of infertility?

The traditional view is that endometriosis is the outward growth of the endometrium beyond the uterine cavity (excluding the myometrium). When endometrial tissue with growth function appears in other parts of the body outside the mucosa covering the uterine cavity, it is called endometriosis. Endometriosis is related to infertility. According to reports from Tianjin and Shanghai, primary infertility in patients with endometriosis accounts for 41.5% to 43.3%, and secondary infertility accounts for 46.6% to 47.3%, while the infertility rate of the normal population is 15%. Severe endometriosis causes adhesions, affects ovarian function, and hinders the maturation and release of egg cells.

Ovarian local factors (23%):

Congenital ovarian dysgenesis, polycystic ovary syndrome, premature ovarian failure, functional ovarian tumors such as granulosa-thecoma cell tumor and testicular blastoma affect ovarian ovulation; ovarian endometriosis not only destroys ovarian tissue, but also can cause severe pelvic tissue adhesions and lead to infertility.

Mental factors (7%):

Some scholars have found that excessive mental stress or excessive worry and anxiety can cause women to have emotional disorders and various psychological disorders, which then affect the endocrine balance between the hypothalamus-pituitary-ovary through the neuroendocrine system, leading to anovulation, amenorrhea and infertility.