Doctor, I am infertile. I have to prepare what for my first visit?
This is a question that female infertile patients will ask when making an appointment to see a doctor.
To be honest, this question is not very easy to answer, because there are many reasons for infertility. However, everyone can still make some preparations in advance, which not only facilitates doctors to understand the situation, but also saves time and avoids detours.
Next, let’s take a look at it together. Apart from the items that must be examined in the hospital, women have to make 7 preparations in advance.
1. Menstrual history
Record menarche age, menstrual cycle, date of last menstruation, dysmenorrhea and other information.
Menstruation is an important sign to judge whether women’s endocrine and ovulation are normal, which is a necessary condition for pregnancy. However, dysmenorrhea means that there may be factors leading to infertility such as endometriosis or pelvic inflammatory disease. Therefore, menstruation-related information is very important for doctors to judge the cause of the disease.
2. Monitor ovulation in advance
Before seeing a doctor, ovulation monitoring should be done at home to record the date and rule of ovulation. You can use basic body temperature monitoring, cervical mucus observation, ovulation test paper detection and other methods.
- Basal body temperature monitoring, You need to take your body temperature in the early morning when there is no activity. If your body temperature rises by about 0.5 degrees, Ovulation may have occurred. Observing cervical mucus is to see the situation of leucorrhea. If leucorrhea increases and is transparent and filamentous, it is also one of the signs of ovulation. A relatively accurate method is to use ovulation test paper for detection. If urine is positive after detection, ovulation is likely to occur within 36 hours.
With this information, doctors can directly use it as a reference to prevent patients from going to the hospital for monitoring again, thus saving time and cost.
3. History of sexual life, contraceptive history
Normal sex is another necessary condition for pregnancy.
When seeing a doctor, the doctor should be informed of the frequency and time of sexual life and whether contraceptive measures have been taken.
4. Birth history
Birth history includes:
- Have you had several pregnancies, given birth to several children (survived several), miscarried, caesarean section, etc.
If there has been repeated induced abortion, it may be the cause of infertility.
5. How long does infertility last
The time of infertility without contraception and the time of premarital sex without contraception should be told to the doctor accurately, because judging the cause of infertility will refer to the time of infertility. The longer the time, the more stubborn or serious the existing problems will be.
6. Check the man first
Before the woman sees infertility, she should let the man have a semen routine examination first. In this way, it is clear whether the man has any problems at a glance, so as to avoid the woman who has no problems taking detours.
Don’t think [infertility is your own problem, the man doesn’t need to check] or [check yourself first, then check the man], the former is a mistake of understanding, the latter is a mistake of treatment process.
7. Go to the hospital at the right time
Many people chose the wrong time. As a result, when they arrived at the hospital, they could not do the examination and made a free trip.
In fact, what pays attention to the time for medical treatment, which depends on the examination:
(1) Hormonal examination
It is best to do it in 3 ~ 5 days of menstruation. Of course, long-term amenorrhea can be checked at any time, and on an empty stomach.
(2) Salpingography
Do it 3-5 days after menstruation is clean. This examination usually requires an appointment, and it is best to consult several days in advance, and then go to see a doctor after menstruation is clean and there is no sex life.
(3) Semen examination
It is forbidden to have sex for 5 ~ 7 days. This is the man’s examination, but the woman should also bring the relevant results when she sees a doctor.