子宫内膜异位性不孕（Endometriosis infertility）.docVIP

子宫内膜异位性不孕（Endometriosis infertility） Endometriosis is any part of the growth of endometrium outside the uterine cavity caused by gynecological diseases such as ovarian, uterine sacrum ligament and the posterior wall of the lower uterine segment of uterine serosa, rectum and sigmoid colon were the pelvic peritoneum, also in the myometrium, so clinically endometriosis divided into external endometriosis and internal endometriosis. The patient often complained of infertility, dysmenorrhea, and pelvic pain. The infertility rate of endometriosis is about 40%. The relationship between this disease and infertility has been the focus of clinical attention. Endometriosis is considered to be one of the major causes of infertility. Therefore, in clinical practice, if the women with infertility complain, if the fallopian tube is unobstructed, the basal body temperature is biphasic, the endometrial response is good, and the normal test after sexual intercourse, the possibility of endometriosis should be considered. [cause] some infertility caused by endometriosis, fallopian tube patency, and there is no abnormal anatomical structure of the pelvic cavity, infertility for the following reasons: 1. ascites volume, composition and infertility. The ascites volume of the patient was 10-20ml, whereas the normal person was 10ml. In patients with ascites, macrophages and lymphocytes increase, ascites acid phosphatase increases, the activation of this macrophage function can activate macrophages to engulf sperm, affecting pregnancy. In addition, macrophages and antigen substances, such as inflammation and reflux of blood meet, will accelerate the division of reproduction, sperm and eggs have direct cell toxicity, thereby interfering with pregnancy. 2. endometriosis is associated with anovulation. Endometriosis is reported to have anovulation in 17%-27%, which is associated with fewer LH receptors in the follicular cells of the patient. 3. luteal phase defect of ovary. Partial luteal phas