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guidelines for Treatment of Uterine Infertility-Uterine Infertility

guidelines for Treatment of Uterine Infertility-Uterine Infertility
Compass for uterine infertility treatment answers the questions that often appear when patients go to the hospital for treatment, for example, what department number does uterine infertility hang? Matters needing attention before uterine infertility examination? What do doctors usually ask? What tests should uterine infertility do? What do you think of the examination results of uterine infertility? Wait. Uterine infertility treatment guidelines are designed to facilitate uterine infertility patients to seek medical treatment and solve the doubts of uterine infertility patients.
Typical symptom
Congenital absence of uterus, spastic stenosis ring of uterus, single horn or double horn uterus
Suggested visiting department
Reproductive health
Best visit time
No special, see a doctor as soon as possible
Duration of visit
Two days are reserved for the first visit and one day is reserved for the second visit
Frequency of follow-up visit/diagnosis and treatment cycle
Outpatient treatment: After weekly follow-up to leucorrhea stabilization, discomfort follow-up. Severe cases need to be admitted to hospital for treatment and transferred to outpatient treatment after bleeding disappears.
Preparation before seeing a doctor
No special requirements, pay attention to rest.
Common consultation contents
1. Describe the reason for seeing a doctor (when did you start and what's wrong?)
2. Is the feeling of discomfort caused by obvious factors?
3. Have accompanying symptoms such as increased leucorrhea, irregular uterine bleeding, backache and abdominal distension?
4. Is there a history of unclean sexual intercourse?
5. Have you been to the hospital, have you done those examinations, and what are the examination results?
6. How is the treatment?
7. Is there any history of drug allergy?
Key inspection items
1. Diagnostic curettage
It is suitable for married women to know the depth and width of uterine cavity, and whether there is adhesion in cervical canal or uterine cavity. Curettage of endometrium for pathological examination can understand the response of endometrium to ovarian hormones, and can also determine the diagnosis of endometrial tuberculosis. Curettage can be used for tuberculosis culture at the same time.
2. Hysterosalpingography with lipiodol
To understand the shape and size of uterine cavity and fallopian tube, so as to diagnose reproductive system dysplasia, malformation, tuberculosis and intrauterine adhesions.
3. Hysteroscopy
Observe uterine cavity and endometrium under direct vision, diagnose whether there are intrauterine adhesions and suspicious tuberculosis, and take samples routinely and send them to pathological examination.
4. Drug withdrawal test
① Progesterone test (progesterone test). For a simple and rapid method to evaluate endogenous estrogen level, if there is no bleeding after withdrawal in progesterone test, the estrogen level in patients is low. Estrogen test. The estrogen test should be repeated when there is no withdrawal bleeding. If there is still no bleeding, it indicates that the endometrium is defective or destroyed, and it can be diagnosed as uterine amenorrhea.
5. B Ultrasound
① Check the shape, position and size of uterus, and measure the length, width and thickness of uterus to observe the degree of uterine dysplasia and whether it is naive uterus. ② Whether there are tumors, such as uterine fibroids, ovarian tumors, cystic teratoma, etc. ③ Uterine malformations, such as no uterus, trace uterus, bicorn uterus, single horn uterus and residual horn uterus, can be examined by B-ultrasound. ④ Endometrial polyps can be found.
6. X-ray plain film
Mainly used for uterine fibroids. When fibroids calcify, they are scattered in consistent spots, or shell-like calcified capsules, or rough and wavy honeycomb-like edges.
Diagnostic criteria
The diagnosis of female infertility is pre-endometrial biopsy, basal body temperature measurement, vaginal exfoliated cell smear and cervical mucus examination, etc., to detect whether there is ovulation, except endometrial tuberculosis. Tubal ventilation and fluid obstruction, lipiodol radiography can show the diagnosis basis of female infertility in tubal lesions and obstruction sites. Female infertility diagnosis: Women of childbearing age, normal sexual life after marriage, no contraception, cohabitation for 2 years infertility for primary infertility; Those who have been pregnant but have not been pregnant for nearly 2 years are called secondary female infertility. Before the systematic inspection of the woman, the reproductive organs and semen of the man should be checked first, which is also the basis for the diagnosis of female infertility.


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