Xi'an Cailove Gynecological Hospital reminds: For women, getting gynecological inflammation could be a problem of varying severity. Timely treatment can lead to recovery. However, if you think it's not a big deal, gynecological inflammation might possibly cause infertility, and by then it will be too late to regret.
1. Infertility caused by vulva and vagina inflammation
Vulvovaginitis can be general or specific infections, among which more common ones are trichomonas, fungal infections or bacterial vaginosis. In recent years, the incidence of sexually transmitted diseases has been increasing year by year, drawing attention. Although external genital inflammation can still lead to pregnancy after timely and effective treatment, it should be pointed out that bacterial and sexually transmitted virus infections in the vagina often spread upward leading to intrauterine infection. Once pregnant, it may vertically infect the fetus through the placenta and cause fetal malformation, especially in early pregnancy with rubella virus, sexually transmitted virus infections. Some people suggest that cesarean delivery should be performed for those who have not healed from reproductive tract sexually transmitted viral infections in late pregnancy to prevent fetal infection.
2. Infertility caused by cervical inflammation
Cervicitis itself does not necessarily cause infertility, but the local microenvironment changes caused by its inflammation is one of the reasons for infertility. Treatment mainly adopts physical therapy, including electrocautery, laser, cryotherapy, microwave, and radiofrequency therapy. Cervical polyps should be removed and biopsied, and local drug treatment also has certain effects. Patients with ovarian dysfunction should be treated with endocrine therapy.
3. Infertility caused by abnormal function of cervical mucus
When ovarian dysfunction occurs (such as anovulation, luteal phase defect, and use of anti-estrogen drugs), the quantity and quality of cervical mucus secretion will abnormally affect sperm activity, storage, survival, and capacitation leading to infertility. Treatment includes ovulation induction, estrogen therapy, improving the vaginal and cervical local environment, and treating related diseases such as cervicitis and vaginitis.
4. Infertility caused by uterine cavity adhesion syndrome
The incidence of uterine cavity adhesion is increasing year by year, and it is an important cause of infertility, accounting for 1.7% of secondary amenorrhea and 40% of infertility cases. Treatment: 1. Separating adhesions can be done using uterine probes or hysteroscopy to separate adhesions, followed by placing IUD or small Foley catheter to prevent re-adhesion. Those who want to bear children can remove it after 3 months and undergo intrauterine drug injection treatment. Antibiotics are given before and after surgery to prevent infection. 2. Stimulating endometrial growth by giving estrogen/progesterone cycle treatment. After separating adhesions and intrauterine drug injection treatment, the menstrual reconstruction rate is 84%, oligomenorrhea rate is 11%, still amenorrhea is 5%, and the total pregnancy rate is 5%～16%.
5. Infertility caused by endometritis
The physiological functions of the endometrium are manifested in the following aspects: menstruation, reproduction, barrier effect, excretion, and endocrine function. Once endometritis occurs, the above functions become disordered, leading to menstrual disorders and infertility. Severe endometritis, such as tuberculosis, amoebic and schistosomiasis infections, ulcers and inflammatory exudation of endometrial tissue can lead to uterine cavity adhesion and healing, destroying the integrity and function of the endometrium, causing menstrual disorders and infertility. Acute endometritis can fully recover after active treatment without affecting fertility. Chronic endometritis often merges with pelvic inflammatory disease, and the treatment prognosis is poor.
6. Infertility caused by endometrial polyps
Endometrial polyps block the uterine cavity, hindering the retention and implantation of sperm and fertilized eggs. Endometrial polyps combined with infections change the uterine cavity environment, which is unfavorable for the survival of sperm and fertilized eggs. Endometrial polyps hinder the implantation of the placenta and embryo development. Combined with salpingitis or oophoritis, it can cause obstructive or anovulatory infertility.
7. Infertility caused by fallopian tube inflammation
Fallopian tube blockage and pelvic inflammatory disease and other inflammatory factors rank first among female primary infertility factors, and fallopian tube blockage or unsmooth accounts for one third of female infertility. The important reason for fallopian tube blockage is inflammation, and the proportion of infertility caused by fallopian tube blockage is still rising. Since the 1980s, the infection of sexually transmitted diseases has rapidly spread worldwide, especially chlamydia, mycoplasma, and gonorrhea infections, leading to the increase of salpingitis and tubal obstruction, and the fallopian tube factor has significantly risen to the first place.
8. Infertility caused by induced abortion
Although induced abortion does not directly cause secondary infertility, due to improper surgical procedures, etc., medical source reproductive organ infections can occur, further producing inflammation or complications, which is the main cause of secondary infertility. It is recommended to use drug-induced abortion for the first pregnancy abortion to reduce the chance of intrauterine surgical operations, thereby avoiding the occurrence of medical source reproductive organ secondary infections or complications to the greatest extent possible.
9. Infertility caused by Chlamydia trachomatis and Ureaplasma urealyticum
Chlamydia trachomatis and Ureaplasma urealyticum infections not only cause widespread reproductive tract infections but also lead to infertility, and their incidence has been on the rise in recent years. Chlamydia trachomatis infection is closely related to infertility. The reproductive tract inflammation, adhesion, and obstruction caused by acute and chronic infections of the female reproductive tract are the main causes of infertility. Infections may be caused by multiple microorganisms, among which Chlamydia trachomatis is one of the common pathogens. It was found that 26%～62% of acute salpingitis cases were related to Chlamydia trachomatis infection. If acute salpingitis is not treated in time, it can turn into chronic salpingitis, causing tubal adhesion and obstruction, irregular menstruation, and eventually leading to infertility.
To prevent infertility from happening, women should pay the most attention to hygiene. Do not let gynecological inflammation consume your health, and don't let your good luck slip away. www.xaciai.com Xi'an Cailove Hospital official website