What should I do if I have a disease that affects fertility? Premarital check-up is very important

Nowadays, not only do women have many diseases that affect their fertility, but men are also prone to some modern diseases, which affect the fertility of couples and even affect family relationships. Because having a child in a modern family is also a big deal, if one of the couple is infertile, it can easily cause an emotional crisis. So, what should you do if you have a disease that affects your fertility? Obviously you can't just sit there and wait for death. The earlier you find it and treat it, the more time you have. Let's take a look at the specific solutions below.

What should I do if I have a disease that affects fertility?

There are many diseases that affect fertility, with men and women accounting for half each. Therefore, both men and women should undergo a comprehensive examination before marriage. If diseases that affect fertility are detected, they should be treated in time, including ovarian cysts, polycystic ovary syndrome, etc., so as not to affect fertility. So, what should you do if you have a disease that affects fertility? Of course it should be treated in time. Let's take a look at these common diseases.

1. Ovarian cysts: They can cause torsion during sexual intercourse, causing great pain to women. If not treated in time, it is likely to affect fertility or even endanger life.

2. Polycystic ovary syndrome: more common in women with varying degrees of obesity and hirsutism. Although it does not affect sexual life, the disease can also cause infertility if ovulation does not occur.

3. Endometriosis: This is a gynecological disease caused by the growth of endometrium anywhere outside the uterine cavity. It can cause dysmenorrhea and gradually worsen. Endometriosis is one of the main causes of infertility, but it can be completely resolved by pregnancy in the early stages. Therefore, if early lesions are found during the marriage examination, the related symptoms will disappear as long as you get pregnant as soon as possible. Childless women with endometriosis should not easily choose abortion if they become pregnant after treatment.

4. Type 1 diabetes: It is common in adolescents and people of marriageable age. Diabetic ketoacidosis coma often occurs. Due to malnutrition, it is easy to be combined with tuberculosis, diabetes, kidney disease, etc. Therefore, it is advisable to choose to get married. If a woman is already married, it is not suitable for her to have children. There are four reasons for this: First, the physiological hypertrophy and hyperfunction of the pituitary gland during pregnancy, as well as the increased levels of prolactin and estrogen secreted by the placenta, can aggravate diabetes; second, pregnancy can cause lesions in the retina, kidneys and other blood vessels of diabetic patients, causing irreversible development and leading to blindness or renal failure; third, it is also prone to complications such as polyhydramnios, pregnancy-induced hypertension syndrome, ketoacidosis, infection, postpartum hemorrhage and birth injuries; fourth, the incidence of congenital malformations of the fetus is 2 to 3 times higher than that of non-diabetic patients, and the incidence of intrauterine fetal death is more than 10 times higher than that of normal people. Therefore, it is best for female diabetic patients not to get pregnant.

5. Chronic glomerulonephritis: If a female patient has suffered from glomerulonephritis before pregnancy, the condition will often worsen after pregnancy. Because pregnancy itself causes localized intravascular coagulation, it aggravates the ischemic pathological changes and renal dysfunction of glomerulonephritis and worsens the condition. Patients can choose to get married, but female patients with severe symptoms are not suitable for childbearing.

6. Acute glomerulonephritis: It is not advisable to get married, let alone have children, during the acute phase.

7. Vaginitis: Mainly gynecological inflammations such as Trichomonas vulvovaginitis, candidal vaginitis, and condyloma acuminatum, which can be cured through short-term treatment. Among them, sexual intercourse should be prohibited during the treatment period of Trichomonas vaginitis and candidal vaginitis, and both husband and wife should be treated together. If only the female's vaginitis is treated and the male's treatment is ignored, the female will be infected again during sexual intercourse.

Experts remind: What preparations should be made before undergoing a marriage examination? If you have had sexual intercourse before marriage, it is best to stop for a few days before undergoing a marriage examination, so that it is easier to check semen routine, sperm motility, body secretions, etc.; if a woman wants to have a B-ultrasound, she needs to hold her urine. In addition, women should not undergo examinations during their menstrual period.

Pre-marital check-up is very important

Premarital examination and consultation is a comprehensive and systematic health check-up with a specific focus. Depending on the medical conditions of each hospital and the technical level of the doctors, it generally includes four aspects.

1. The purpose of a comprehensive physical examination is to check the development and health of reproductive organs and important organs. If any acute or chronic infectious diseases or serious heart, liver, kidney and other diseases that are not suitable for marriage are found, marriage can only be allowed after they are cured to avoid causing pain to both parties and future generations; male and female reproductive organ malformations, such as male hypospadias, phimosis, female vaginal septum, hymen occlusion, congenital absence of vagina, etc., must be treated before marriage. If they are not treated, they should make it clear to the other party to avoid adding unstable factors to the family and society after marriage; if uncured leprosy, schizophrenia and other diseases that are medically considered to be incompatible with marriage are found, they should be advised not to get married. It includes detailed examination of important organs such as the heart, liver, kidneys, and lungs, and understanding the health of these organs through X-rays, ultrasound, blood, and urine tests.

2. The purpose of health inquiry is to understand the past physical health of both parties, whether they have a history of genetic diseases, mental illness and other serious diseases; family history investigation of both parties, including the health status of direct and collateral blood relatives, generally traced back to three generations, with an emphasis on genetic diseases, genetic defects, deformities, whether there is a close blood relationship between spouses, etc. Whether they are close relatives and whether there are genetic diseases or congenital defects in the parents' families of both parties can determine whether the two parties can get married or have children after marriage. For example, if both parties are close relatives, they are prohibited from getting married according to the law; if one or both parties suffer from dementia or mental illness and cannot take care of themselves, and the disease is highly heritable, they should be persuaded and prevented from getting married; some patients with certain diseases can take care of themselves, but all their children are deaf and dumb. If they must get married, they should be encouraged to undergo sterilization before marriage.

3. Promotion of knowledge about sexual life and sexual hygiene after marriage, introduction and selection of contraceptive methods, explanation of the significance and policies of family planning, etc. Premarital examination and consultation is a serious and scientific health care work. The person being examined should cooperate with the doctor, be loyal and frank, be responsible for the future family, children and each other, and be responsible to the society, especially during health inquiries and family history investigations. The doctor should not be deceived for the purpose of getting married.

4. In terms of gynecology, the premarital examination will mainly include some cancer prevention screenings such as cervical cancer, followed by checking for other tumors and finally ruling out reproductive tract malformations. If the person being examined has no sexual life before marriage, there will be no cervical screening program. Among them, the reproductive tract is a mandatory inspection item, which can be completed through anal examination. Diseases such as hymen occlusion can be detected through this examination.

Check timing

Many young people go for premarital check-ups before registering their marriage, but this is too late. First, before getting married, they are busy with preparations, which makes them physically tired and mentally tense, so it is not suitable for them to have a comprehensive health check-up; second, once they are diagnosed with a disease that makes them unsuitable for marriage right away, they need treatment before getting married, which often catches them off guard; third, young men and women who are not suitable for marriage from the perspective of eugenics will discover this when they are about to get married, which is emotionally difficult to accept. Therefore, it is better to have a premarital check-up as early as possible. What time is appropriate depends on the specific circumstances.

① People who have genetic diseases in both parties or one of their families should receive premarital genetic disease counseling before they are about to confirm their relationship. They should ask a doctor for guidance on whether they can get married and the probability of genetic diseases in their future children, so that they can make an early decision to break up or continue the relationship.

② Premarital health check-up should be done about half a year before marriage, and any abnormalities found can be treated or corrected in time.

③ Three months before marriage, you should receive guidance on sexual life and contraceptive methods in a hospital or family planning technical service station (room).

The above has told you in detail about some diseases that affect fertility. As for what to do if you suffer from diseases that affect fertility? Specific problems should be analyzed specifically, because different diseases have different treatments. Some are problems with the man, and some are problems with the woman. No matter which party causes infertility, timely and proactive treatment should be given.