If you had autoimmune infertility how to do? Urgen

Question
I got married in the near future, and the same room when his wife did not know she was in the menstrual period (which is the last day of menstruation) only this time. After menstruation, we have several times the same room can be had for a month to leave, she said the cases that are not pregnant. I search the relevant information online, may be explained that autoimmune infertility (only one is not the disease so), I am not sure that is not the disease, would like to know the people in this area help me solve this problem, Thank you.
Answer
Where the concept of infertility couples living together more than 2 years, did not take contraceptive measures failed pregnancy, known as infertility. 2 years after the marriage had never become pregnant are known as primary infertility; there had been birth or miscarriage, and infertility for more than 2 years, and known as secondary infertility. According to statistics, a pair of normal married couples of childbearing age, in a normal married life and not take any contraceptive measures, within 3 months about 60% ~ 70% of the pregnant woman; 6 months, about 75% ~ 80% of the pregnant woman; 12 months pregnancy rate of more than 85%. Some statistics from 1 year to conceive, 60%; 2 yearsPregnancy accounted for 80%; 3 years about 90%. From the statistical results, the pregnancy rate after 1 year, the highest, therefore, it was argued that the time will be scheduled for infertility for 1 year. Infertility standards in terms of time has not yet been unified, the international federation of gynecology and obstetrics in accordance with the views of the majority of scholars, will be the standard infertility for 2 years after marriage, the majority of our scholars advocated to 2 years. Society of the United States a standard of infertility for 1 year. Provisions of the above are artificially prepared. Combined with China#39;s situation, will be limited to years of infertility 2 years of infertility who to avoid jumping to conclusions and not to delay diagnosis and treatment of the time. However, late marriage (such as 30 years of age) should check in advance, the issue of early detection and timely treatment. Infertility and sterility of the difference between infertility and sterility are different, and infertile couples of child-bearing age means that the long-term cohabitation, normal sex life, no contraception and pregnancy failure. The main reason is due to abnormal sperm or eggs, or reproductive tract obstacles. So that sperm and egg can not be met, integration and implantation. Although infertility is the pregnancy too, but are abortion, premature birth, stillbirth or stillbirth ended, so those who never live births. Therefore, infertility is a combination of sperm and eggs have been, after implantation in the endometrium, embryo or fetal growth or barriers or obstacles to delivery and newborn deaths can not beAccess to live births. Infertility and sterility in some cases it is difficult to distinguish between, and often referred to as a general infertility. Traditionally, the women called the cause of infertility caused by female infertility, the causes of male infertility were called to the spouses of male infertility. Routine examination of patients with infertility (1) physical examination: attention to body development, nutritional status, development of secondary sexual characteristics including breast development, fat distribution, hair growth, pubic hair distribution, whether masculine phenomenon, squeezing the breast have no galactorrhea, thyroid enlargement, such as whether or not. Attention due to pituitary gland, adrenal gland, thyroid and other endocrine disorders caused by an organ of the body or variations such as abnormal skin pigmentation. (2) gynecologyExamination: development of the situation, including external genitalia, with or without deformity, and inflammation; thick hymen, the hymen and vaginal narrow or specific the existence of such sensitive circumstances; vaginal depth and tightness, with or without vaginal atresia, normal mucous membrane color, but also determination of vaginal secretion complex pH; whether cervical small, inflammation, erosion and, if necessary, to make smears of the bacteria, or for gonococcus, mycoplasma, chlamydia culture; check uterine body development, to see whether the malformations, uterine location normal, whether there is suspicious leiomyomas; annex any increased hardening, tenderness; rectum and uterus闄峰嚬Department uterosacral ligament nodules, or scar any touch of thickening,Tito forward any cervical pain; detection of uterine cavity depth, bend the direction of the uterus wall is smooth, the proportion of cervical and uterine body, the presence of mediastinal or single abnormal uterus. It should be noted that non-menstrual period in the hospital for examination, because this time I open the cervix, easily infected, doctors bimanual and also may cause blood in the endometrial debris flows down the Fallopian tube, or pelvic, and occurrence of endometriosis. When bleeding is not easy to check and check leucorrhea laboratory examination of cervical secretions. Infertility patients to check the contents of the special inspection in accordance with newly diagnosed (history taking, physical examination, gynecological examination) and laboratoryRoom inspection, you can find the cause in some patients, but patients still need to do a lot of special examinations in order to further identify the cause. (1) the four basic clinical gynecologic check-up: refers to determination of basal body temperature, vaginal exfoliated cells of inspection, examination of cervical mucus and endometrial biopsy. The four basic inspection method is simple and can be carried out in the patient through the examination may be a preliminary understanding of ovarian function and reproductive organs and tissues of the ovarian endocrine response. (2) tubal patency test: including ventilation test, test and hydrotubation hysterosalpingography. Generally clean in the period after the 3 to 8 days. (3) after sexual intercourseTest: This test ovulation or in the basal body temperature rise before the 1 ~ 2 days. (4) B-mode ultrasound examination: check the uterus and form the annex to the development and location of lesions, such as whether or not endometriosis, ovarian and fallopian tube cancer, uterine fibroids, such as. (5) Laparoscopy: In the laparoscopic inspection at the same time, can be treated under direct vision. Therefore, diagnostic laparoscopy is an important measure of infertility. Can be observed more directly whether or not intra-abdominal adhesions and uterine, ovarian, fallopian tube development of the situation. (6) hysteroscopy: direct observation of the cervix and tubes, uterine cavity and bilateral lost eggsTube shape, and in the biopsy under direct vision inspection check. (7) immunoassay: autoimmune infertility suspected blood can be used for anti-sperm antibodies and cervical mucus anti-sperm antibodies inspection. (8) Determination of endocrine, sex chromatin, chromosome, and other laboratory tests: follicle-stimulating hormone (FSH), luteinizing hormone (LH), prolactin (PRL) and estradiol (E 顎?2) ovulation, and ovulation in Determination of pre-fasting blood, serum progesterone (P) should be the basis of body temperature in the middle of high-temperature phase detection. Suspected genetic abnormality, the couple should do mucosa chromatin and chromosome examination of blood. Male infertilityReference to the main treatment of different diseases with other systems, the specificity of male infertility is not a single disease, but caused by a variety of causes of male genitalia, including the internal and external genital and gonadal axis different levels of abnormal performance for the ultimate decline or loss of fertility the syndrome. For this reason, male infertility can not be used for a specific drug or method to cure a variety of different causes of male infertility due. In contrast, the current can not get a clear understanding of all the causes of male infertility, and, therefore, certainly no effective treatment for clinical. At present, there are certain effects in clinical treatment is: (1) within the sub -Kim Jong-treatment: The main application of long-acting testosterone enanthate treatment of gonadotropin-gonadal low hypoparathyroidism; Bromocriptine treatment of hyperprolactinemia; oligospermia treatment of clomiphene citrate and HCG and HMG combination treatment of low gonadotropin deficiency. (2) the treatment of genital tract inflammation: The combined application of that type of antibiotics and anti-inflammatory drugs, better treatment. (3) immunotherapy: The surgical removal of reproductive tract lesions localized damage and reduce the emergence of anti-sperm antibodies, while the use of immunological agents, can achieve better effect. (4) Surgical treatment: the application of microsurgical technique in treatment of male reproductive system diseases,Male infertility treatment is a major progress in technology. Now widely used in clinic are: Microsurgical vas deferens anastomosis, epididymis and vas deferens tube Microsurgical anastomosis. (5) Artificial Insemination: Using a variety of physical and biochemical techniques to deal with semen and improve sperm fertilization capacity, artificial insemination by husband (AIH). Application frozen semen technology, in patients with azoospermia given for artificial insemination by donor (AID), but for practical applications for the selection of sperm there are many complex issues. (6) unexplained infertility treatment: In addition to the causes have been identified and some of the male infertility treatmentDisease, there are many reasons unknown, the diagnosis is not clear oligospermia and asthenospermia, collectively referred to as unexplained male infertility. Treatment of such diverse conditions, but the effect is not sure, summed up are: hormones, antibiotics, thyroid hormones, vitamins, trace elements, amino acids, such as drugs and Chinese herbal medicine treatment, at the same time with patients advised to avoid alcohol and tobacco, to prevent stress, fatigue and to maintain the normal rules of nutrition and life habits. Experts say: come out in the constant-frequency magnetic resonance ago, is true of male infertility treatment is not a very good idea, but now this historic change. Use it to millions of patientsCured as evidenced by infertility. Male infertility are difficult for special examinations of male infertility diagnosis and, if necessary, to do some special inspection to determine the diagnosis, examination methods are commonly used: (1) X-ray and CT inspection: In order to determine the vas deferens Road obstruction site, to be used in the vas deferens, epididymis contrast, vas deferens, seminal vesicle, such as angiography or urethrography; prostate imaging can be found in increasing the degree of prostate and prostate cancer; testis and epididymis tuberculosis by X-ray examination to determine the scope of diseases; the penis of the X-ray examination mainly for Peyronie#39;s disease, priapism. Hyperprolactinemia may shoot sellaX-ray tomography is to determine whether lateral films of pituitary adenoma, but also by CT or MRI diagnosis. CT examination of male reproductive system can be diagnosed hypertrophy benign prostatic hyperplasia, prostate cancer, testicular hypoplasia, such as testicular cancer. (2) ultrasound examination: mainly used for hydrocele, epididymal hematoma, varicocele, epididymal cyst, epididymitis disease, testicular cancer, such as testicular torsion. Doppler ultrasound helps varicocele diagnosed, prostate disease can also be used to carry out ultrasonic inspection methods. (3) The testicular biopsy: direct examination of testicular seminiferous tubules of spermatogenic function and the development of interstitial cells, the partial synthesis of hormones andMetabolism by immunohistochemical staining for inspection, this method is mainly used in azoospermia patients with azoospermia or less. (4) Karyotype analysis: for testicular dysplasia and external genital malformations and unexplained azoospermia. (5) Thermography: male reproductive system for tumors, inflammation of the male reproductive system. (6) of radioisotope examination: can be found in some occult diseases, such as varicocele, testicular torsion, testicular tumors.

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