The uterus is an important reproductive organ of women, and it is an important place to produce menstruation and give birth to the fetus. Director Tian of Shanghai Marriott Hospital introduced that the uterus is a hollow organ, and the cavity is covered with mucosa, which is called endometrium. From adolescence to menopause, the endometrium is affected by ovarian hormones, which changes periodically and produces menstruation. During sexual intercourse, the uterus is the channel for sperm to reach the fallopian tube. After conception, the uterus is the place where the embryo develops and grows. During childbirth, the uterus contracts, causing the fetus and its appendages to be delivered. These physiological functions mainly depend on the normal periodic changes of endometrium. This change is controlled by estrogen and progesterone secreted by ovaries. Women do uterine function examination mainly to understand the state and function of uterus and endometrium. There are four routine inspection methods.
(1) Diagnostic curettage: It is suitable for married women to know the depth and width of uterine cavity and whether there is adhesion of cervical canal or uterine cavity. Pathological examination of endometrial curettage can help us understand the response of endometrium to ovarian hormones, and can also diagnose endometrial tuberculosis. At the same time, scraping method can be used to culture tuberculosis.
(2) Hysterosalpingography: To understand the shape and size of uterine cavity and the condition of fallopian tube, and to diagnose reproductive system dysplasia, malformation, tuberculosis and intrauterine adhesions.
(3) Hysteroscopy: Observe the uterine cavity and endometrium directly to diagnose whether there is intrauterine adhesion or suspicious tuberculosis. Samples should be taken regularly and sent for pathological examination.
(4) drug withdrawal test: ① progesterone test (progesterone test). In order to be a simple and rapid method to evaluate endogenous estrogen level, if there is no bleeding after withdrawing progesterone test, the patient's estrogen level is low. ② Estrogen test. When there is no bleeding after stopping the drug, the estrogen test should be carried out again. If there is still no bleeding, it means that the endometrium is defective or destroyed, which can be diagnosed as amenorrhea.
Problem analysis: Hello, there are many reasons for infertility in your situation. Both male and female factors may lead to infertility, such as insufficient sperm quantity, poor mobility and long liquefaction time of semen. Female vaginal inflammation, cervical inflammation, endocrine disorders, abnormal ovulation function, tumor, endometriosis, tubal nowhere's disease and autoimmune system can all cause infertility.
Suggestion: Don't worry too much about your situation. It is suggested that both men and women abstain from sex three to five days before ovulation, try to share the same room during ovulation, and don't rush to pull out the penis after each sexual intercourse. Putting a pillow under a woman's hip will also increase the chances of pregnancy. Too frequent sexual life may also affect pregnancy. If you have a normal sexual life for two years, you don't have contraception or pregnancy before considering the possibility of infertility. You need both men and women to abstain from sex for three to five days and go to the hospital for examination. The man should check semen analysis, and the woman should check six sex hormones, basal metabolic rate, ovarian function and immunological examination. , so as to clarify the causes of infertility and carry out corresponding treatment.