Uterine infertility

　　1. Cervical canal atresia

　　Cervical canal atresia and stenosis are often caused by induced abortion, mainly due to insufficient cervical dilation during the suction of the uterus during the induced abortion, or the removal of the suction tube with negative pressure, or improper operation by the doctor, etc., which causes damage to the uterine endometrium in women, and ultimately leads to infertility. Women with this condition often feel cyclical pain in the lower abdomen, and during examination, the vagina will appear purple-blue, the cervical pain will be obvious, the uterus will be slightly full and active, and there will be tenderness.

　　2. Cervical canal position anomaly

　　Chronic pelvic inflammation or endometriosis can cause the uterus to be extremely retroverted, retroflexed, or anteflexed, which is not conducive to the upward movement of sperm. In addition, cervical elongation, shortening, or prolapse may also change the normal position relationship between the cervical external os and the posterior fornix, hindering the upward movement of sperm.

　　3. Uterine cavity adhesion

　　Adhesions of the cervical canal and uterine base, uterine cavity deformation, menstrual disorders, and infertility syndrome are caused by uterine endometrial injury and infection due to reasons such as surgery, curettage, electrocoagulation, and drug corrosion.

　　4. Hypoplasia

　　Uterine hypoplasia, also known as幼稚子宫, generally refers to the uterus being smaller than normal after puberty. A small uterus alone is not necessarily the direct cause of infertility. If the ovaries also develop poorly, it is the direct cause of uterine infertility.

　　5. Uterine malformation

　　Whether uterine malformation affects fertility depends on the type and degree of the malformation. Most of these patients have no obvious自觉 symptoms, but some may have primary amenorrhea and irregular menstruation, such as oligomenorrhea, menorrhagia, dysmenorrhea, or dysfunctional uterine bleeding; some may have underdeveloped reproductive organs and breasts, such as幼稚型, underdeveloped breasts and secondary sexual characteristics, hypofunction of the ovaries, anovulation, etc. Some patients may become pregnant, but due to the inability of the uterine cavity to expand accordingly, it is easy to have a miscarriage, preterm birth, abnormal fetal position, abnormal placental position, or stillbirth.

　　6. Uterine fibroids

　　Uterine fibroids are hormone-dependent tumors. Small uterine fibroids rarely affect pregnancy, but large fibroids and submucosal fibroids can cause infertility and miscarriage.

　　7. Endometritis

　　Endometritis can lead to menstrual, reproductive, barrier, excretion, and endocrine dysfunction, resulting in infertility.

　　8. Endometrial dysfunction

　　Endometrial dysfunction can be divided into three main types: endometrial atrophy, abnormal endometrial hyperplasia, and luteal endometrial dysfunction.

　　9. Endometrial polyps

　　Endometrial polyps can block the uterine cavity, hinder the retention and implantation of sperm and ova, causing infertility.

　　1. Uterine malformation

　　Clinical manifestations: Whether uterine malformation affects fertility depends on the type and degree of the malformation. Most of these patients have no obvious自觉 symptoms, but due to the impact on the implantation of the fertilized egg, infertility often occurs. Even if pregnant, due to the inability of the uterine cavity to expand accordingly, it is easy to have a miscarriage or preterm birth.

　　2, Uterine underdevelopment

　　Uterine underdevelopment, also known as幼稚子宫幼稚子宫, generally refers to the uterus being smaller than normal after puberty. A small uterus alone is not necessarily a direct cause of infertility. If the ovaries are also underdeveloped, the hope for fertility is not great. This includes congenital absence of uterus and incomplete uterine development, obstruction of the convergence of the paramesonephric ducts, incomplete passage of the ducts after convergence, congenital uterine ectopia, and iatrogenic congenital uterine abnormalities.

　　3, Endometritis

　　Clinical manifestations: increased leukorrhea, irregular uterine bleeding, lower back pain and abdominal distension, often occurring during menstruation. Acute manifestations include fever, purulent vaginal discharge with an odor; uterine tenderness; leukocyte count increases. If not treated promptly and thoroughly, it gradually turns into chronic.

　　4, Uterine fibroids

　　Uterine fibroids are the most common tumors in women. According to the relationship between the fibroids and the uterine muscle layer, they are divided into intramural fibroids, subserosal and submucosal fibroids. The degree of fibroid impact on pregnancy is related to the location, size, and number of fibroids.

　　Maintain sexual fidelity to prevent infectious diseases. During pregnancy, women should follow medical advice, regularly perform prenatal examinations, and be especially vigilant for vaginal bleeding and abnormal fetal position. During pregnancy, sexual activity should be restricted, especially in the first and last three months of pregnancy, to prevent intrauterine infection. Postpartum lying in bed should also be scientific, pay attention to daily life and rest, ensure adequate rest, avoid doing heavy work too early, and prevent uterine prolapse.

　　1, Diagnostic curettage①It is suitable for married women, used to understand the depth and width of the uterine cavity, and whether there are adhesions in the cervical canal or uterine cavity. Scraping the endometrium for pathological examination can understand the endometrial response to ovarian hormones, and can also determine the diagnosis of endometrial tuberculosis. The scraped material is also used for tuberculosis culture.

　　2, Hysterosalpingography with iodine oil①Understand the shape, size, and fallopian tube condition of the uterine cavity, used to diagnose developmental abnormalities, malformations, tuberculosis, and uterine adhesions in the reproductive system.

　　3, Hysteroscopy①Under direct vision, observe the uterine cavity and endometrium, diagnose the presence of uterine adhesions, and可疑结核病变可疑结核病变, and take routine samples for pathological examination.

　　4, Drug withdrawal test①Progestin test (progesterone test). It is a simple and rapid method to evaluate the level of endogenous estrogen. If there is no withdrawal bleeding in the progestin test, it indicates that the level of estrogen in the patient's body is low. ②Estrogen test. If there is no withdrawal bleeding, repeat the estrogen test. If there is still no bleeding, it suggests that the endometrium has defects or is damaged, and can be diagnosed as uterine amenorrhea.

　　5, Ultrasound①Examine the shape, position, and size of the uterus, measure the length, width, and thickness of the uterus, etc., to observe the degree of uterine underdevelopment and whether it is a幼稚子宫幼稚子宫. ②Check for tumors such as uterine fibroids, ovarian tumors, and cystic teratomas. ③Uterine malformations such as absence of uterus,痕迹子宫痕子宫, bicornuate uterus, unicorne uterus, and rudimentary horn uterus can be detected by ultrasound. ④Endometrial polyps can be detected.

　　6. X-ray flat film is mainly used for uterine fibroidsWhen myoma calcifies, it is manifested as scattered uniform spots, or shell-like calcified capsules, or rough and wavy honeycomb-like edges.

　　1. Young girls and women of childbearing age should strengthen their nutrition and eat more soybeans, cuttlefish, coriander, and other foods.
　　2. It is also recommended to eat a small amount of pork liver, vegetables, and fresh fruit. If the appetite is poor and the taste is油腻, you can drink red date and longan soup with brown sugar, or cook porridge with red dates and red beans as a snack.
　　3. In terms of diet, it is appropriate to supplement a small amount of meat products.
　　4. Avoid spicy foods, Sichuan peppercorns, raw scallions, raw garlic, alcohol, and frozen foods and drinks that are刺激性.
　　5. Avoid eating foods with heat, coagulation, and hormone molecules such as longan, jujube, ejiao, and royal jelly.

　　1. Current situation in China

　　Poor uterine development needs to be diagnosed by GR (uterine cavity volume theory). Currently, in China, there are more methods such as dilating the uterus, medication, and instruments. Medication usually takes too long, and if the uterus is too small, this method is also not suitable. There is also the method of ring expansion, which also has limitations. If the poor uterine development is not serious, these methods can all be done. Currently, the better method in China is to develop a gynecological diagnostic and treatment instrument based on Professor Sun Xun's GR theory (which has a patent), which should be the most ideal method.

　　1. Four-dimensional stereoscopic comprehensive therapy - conquering infertility caused by endometritis

　　The 'Four-dimensional stereoscopic comprehensive therapy for endometritis', combines hysteroscopic minimally invasive surgery, microwave thermal therapy, electrolytic ion intervention, and the introduction of traditional Chinese and Western medicine, treating endometritis caused by various reasons in an all-around manner. This therapy has attracted a lot of attention in the field of gynecological treatment due to its innovativeness, uniqueness, and accurate efficacy.

　　2. Hysteroscopic plasma separation surgery - specializes in treating infertility caused by uterine adhesions

　　Uterine adhesions are a pathological phenomenon caused by partial or complete adhesion after uterine endometrial damage. About 90% of cases are caused by over scraping. Uterine adhesions can usually lead to oligomenorrhea, and severe adhesions can cause amenorrhea. If the adhesions seal part of the uterine cavity, it is easy to have a miscarriage, preterm birth, ectopic pregnancy, intrauterine fetal death, placental implantation, placental adhesion, and infertility.

　　Hysteroscopy is used for diagnosing uterine adhesions and has reached the international gold standard. It can diagnose the degree and type of adhesions. Compared with traditional iodine oil contrast and ultrasound, it has unparalleled advantages. Traditional treatment surgery is blind, cannot completely restore the original uterine cavity shape, and the incidence of re-adhesion is high. The use of hysteroscopic plasma separation surgery for the treatment of uterine adhesions does not affect the uterine cavity shape, eliminates re-adhesion, and achieves good results in clinical treatment.

　　3. Double-walled technique of hysteroscopy and laparoscopy - conquering infertility caused by uterine fibroids

　　The traditional surgical treatment for uterine fibroids has brought great pain to patients. Hangzhou Guangren Hospital was the first to introduce the double-walled technique of hysteroscopy and laparoscopy from Germany. The hysteroscopy and laparoscopy technique is precise in diagnosis and minimally invasive in treatment, and has completely overturned the disadvantages of traditional treatment that requires the removal of the uterus.

　　Second, Traditional Chinese Medicine Treatment

　　Traditional Chinese medicine believes that this disease is mainly caused by weak congenital kidney Qi (semen), postnatal malnutrition, insufficient Tian Gui, insufficient Chong and Ren, and the uterus failing to be nourished and warmed, leading to poor development, as well as menstrual irregularity causing infertility. Therefore, the treatment at our center focuses on kidney-nourishing and uterus-tonifying, and regulating the Chong and Ren to assist in pregnancy.

　　This disease is rooted in kidney deficiency, but the clinical manifestations may be biased towards kidney yang deficiency, kidney yin deficiency, kidney and liver deficiency, or combined with liver depression, spleen deficiency, blood stasis, and phlegm dampness, etc. Therefore, when treating patients at our center, we combine the development of the uterus with traditional Chinese medicine cycle therapy to assist in pregnancy. In addition, for special patients, our center will adopt adjuvant therapies such as gonadotropin therapy and uterine protection according to specific circumstances.

　　Third, Modern Technology

　　'Four Scopes and One Thread' combined surgery: that is, the perfect combination of hysteroscope, laparoscope, salpingoscope, fertility scope, and the second-generation ultra-platinum COOK catheter in the United States, which is the 'gold standard' for infertility and sterility diagnosis and treatment formulated by WHO (World Health Organization). Statistics show that the success rate of 'Four Scopes and One Thread' combined surgery for infertility and sterility is as high as 98%. The whole treatment process only takes 20 minutes, no surgery is required, and there is no pain.

　　1. Fertility Scope:Accurately investigate the causes of infertility.

　　2. Hysteroscope:It can understand the internal situation of the uterus and whether there are polyps, adhesions, and other conditions between the uterus and the interstitial part of the fallopian tube.

　　3. Laparoscope:It can understand the specific situation inside the pelvic cavity, such as the situation of the uterus, ovaries, and fallopian tubes, especially the tissue structure around the fallopian tubes and whether there is adhesion.

　　4. Salpingoscope:It can examine the fallopian tube endometrium, normal epithelium, and abnormal lesions, and distinguish the causes of proximal fallopian tube obstruction.

　　5. 'One Thread':American COOK catheter. It is a very fine catheter that can directly enter the patient's body to perform the unblocking work of fallopian tube obstruction.