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Symptoms of uterine infertility
Typical symptoms: Whether uterine malformation affects fertility depends on the type and degree of malformation. Most of these patients have no obvious conscious symptoms, but they often cause infertility due to affecting the implantation of fertilized eggs.
First, uterine infertility symptoms
Uterine malformation or uterine dysplasia: Most patients have no obvious conscious symptoms, but there are also some manifestations of primary amenorrhea and irregular menstruation, such as rare menstruation, hypomenorrhea, dysmenorrhea or dysfunctional uterine bleeding; There are also some manifestations of genital and breast dysplasia, such as sexual immaturity, breast and secondary sexual dysplasia, ovarian dysfunction, anovulation and so on. Even if some patients can conceive, they are prone to abortion, premature birth, abnormal fetal position, abnormal placental position or stillbirth because the uterine cavity cannot be enlarged.
1. Intrauterine adhesions
Clinically, amenorrhea and hypomenorrhea often occur, resulting in infertility.
Acute endometritis is mainly manifested as acute onset, fever, lower abdominal pain, increased leucorrhea, sometimes bloody or stench, sometimes slightly larger uterus, and tenderness in uterus. The clinical manifestations of chronic endometritis are not special.
3. Uterine fibroids
Whether uterine fibroids have symptoms and their severity mainly depends on the location, size, number and complications of fibroids. Some myomas are small, slow-growing and asymptomatic, and can be undiscovered for life.
4. Endometrial polyps
Increased menstruation or irregular uterine bleeding. Polyps are seen or touched at the cervical orifice, and the uterine body is slightly enlarged. Giant polyps or polyps protruding in the cervix are often secondary to infection and necrosis, resulting in irregular vaginal bleeding and bloody secretions accompanied by stench.
5. Abnormal uterine position
The normal uterine position is forward, the uterine body is slightly forward, and the cervix is downward and backward. If the uterus is backward tilted and backward flexed, the cervix is upturned, which is not easy to soak in semen and affect conception. Of course, excessive forward bending of the uterus is not conducive to pregnancy.
Second, uterine infertility endometrial insufficiency
Endometrial insufficiency can be divided into three main types: endometrial atrophy, endometrial dysplasia and endometrial dysfunction in luteal phase:
1. Endometrial atrophy
There is no development and hyperplasia of endometrial glands and stroma due to no estrogen production in ovary or lack of hormone response in endometrium. This kind of intima can be seen in anterior pituitary hypofunction and ovarian dysplasia, and Sheehan's syndrome is common.
2. Endometrial hyperplasia
Too long or glandular cystic and adenomatous hyperplasia is mostly caused by ovulation dysfunction. It often shows menstrual disorder, irregular vaginal bleeding, rare menstruation, amenorrhea or bleeding after amenorrhea.
3. Intimal insufficiency in luteal phase
This kind of patient has ovulation, also can normal fertilization, but because fertilized egg implantation site endometrium development is not perfect, so as to affect conception.
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