Monday afternoon
The girl, who was always brought by her mother-in-law before, came with her husband today. She was holding the medical report in her hand, and the man's expression was a bit serious, and he didn't look well.
"Doctor, I made an appointment with Dr. Qin for today's consultation."
The two walked over, the girl went up to speak, and the man followed half a step behind, looking very anxious, but after all, this was a gynecology clinic, so he seemed a little awkward.
Okay, I remember you. Give me the checkup form.
When Qin Zifu took a look, she found no sperm in the sample, which probably confirmed why the patient couldn't get pregnant. It would be quite remarkable if she could conceive on her own.
I turned to the next page, which showed a test result from a more authoritative hospital. The result was the same, but a few days later than their hospital's.
It's obvious they couldn't accept the results from this hospital, so they went to other hospitals for further examination.
If there's no sperm left, there's no need to check things like fragmentation rate.
"Doctor, what should we do?"
"We need to take a closer look to determine if it's obstructive. Don't worry too much; there's a possibility. I'll take you in to see Dr. Qin."
"Is it okay to have children?"
"Maybe so, come in first."
After Qin Zifu came in, she asked the two of them to sit down and gave the examination report to Qin Jing.
Qin Jing glanced through the papers, her expression unchanged. Having worked in gynecology for so many years, and having also spent some years in the reproductive medicine department of a public hospital, she had seen far too many cases like this, with infertility cases of all sorts of causes every day.
"Young man, don't worry too much. Some cases of azoospermia are obstructive. You can simply understand it as the sperm being produced, but unable to be ejaculated. In vitro fertilization (IVF) can help you have a child."
"Really?"
"Well, we need to find out why you need to get checked. Besides, although there was no sperm in this sample, it doesn't mean there won't be any every time."
"Really? I tried twice, and I didn't get it."
The man was skeptical, so Qin Jing continued...
"It's true, I know one case. At the time, both of them were getting checkups and treatments at the same time. Later, the man had a pelvic exam, and they removed three embryos, but only two of them turned out to be embryos. The woman then gave birth to two sons."
Upon hearing this, the young couple exchanged a glance and both breathed a sigh of relief.
"So, don't worry. If you're already anxious now that it's possible to have a child, how long will you keep worrying? If it really doesn't work out, your anxiety won't help, don't you think?"
"Yes, you're right, I haven't been able to sleep at all these past few days."
The man had been brainwashed by his mother and thought that his inability to conceive had nothing to do with him, so he wasn't in a hurry. But when the problem was discovered, he immediately became very upset.
"Your mood is very important, relax."
"Please give me a referral for any necessary tests, and I'll go get them done and actively pursue treatment."
"Okay, let me take your pulse first and start treating you. Adjusting your condition from both sides will be good for your health."
"Okay, thank you."
"Try to avoid staying up late, drink less alcohol, and control your emotions. In your case, even if it's not azoospermia, the sperm quality is probably not very good. Go back and do as I say, take your medication properly, and I'll prescribe some other supplementary medications for you. Take them carefully."
"Okay, okay, lots of social engagements, sigh."
"Health is important. Regardless of whether you want children or not, your own health is paramount. If you overwork yourself when you're young, you'll find it much harder to cope later."
"Dr. Qin, do I still need to take medication?"
The girl looked a bit better today; perhaps she'd finally felt relieved.
Qin Jing still took her pulse.
"You don't need to take it for now. If you still have the medicine I prescribed at home, finish it. If you don't, that's fine. We'll talk about it after the results come out. The most important thing for you is not to be stressed. Stress and a bad mood will affect ovulation and thus menstruation. In severe cases, it may even lead to premature ovarian failure."
"Is it that serious?"
"Of course! Didn't you see the previous report? A young woman in her twenties, under a lot of work pressure and always arguing with her husband at home, started to stop menstruating. When she finally got checked, she was diagnosed with premature ovarian failure and almost had no eggs left. How could she get pregnant?"
Both of them were stunned. People nowadays live at a fast pace, busy making money, busy working, busy taking care of their families, and have very little time to pay attention to their own emotions. Little do they know that when their emotions are bad, their bodies will protest.
"Furthermore, if we're going to start an IVF cycle later, we absolutely cannot be anxious or angry."
"Okay, thank you so much for helping us with our medical treatment and emotional support."
"Don't mention it, just be obedient and go back."
The two got up, and Qin Zifu saw them out. The girl asked her husband to pay the bill; she seemed to have something to say.
"What's wrong? Is there something else?"
“I want to thank you all, otherwise I feel like I’m going to become depressed. I even secretly saw a psychologist before. Ever since Dr. Qin talked to me about it last time, my mother-in-law has made room for us when we got back, and we’ve been moving in these past few days.”
"That's good. Try to be happy and don't worry too much about the uncertainties of the future. I'll pass that message on to Dr. Qin."
"Okay, thank you, I'll be going now."
"goodbye"
The girl smiled knowingly, turned and left. Qin Zifu couldn't fully understand her situation, but having met her mother-in-law, she could empathize with some of her difficulties.
If it were her, she might reconsider the marriage.
Qin Zifu didn't think much of it and continued seeing patients.
After that, I saw an 18-year-old child who had been experiencing severe abdominal pain during her periods for the past two years. She couldn't bear it without painkillers, which affected her normal studies and life. Now that the college entrance examination is over, the child is going to study in another city and wants to get some treatment.
"Your body is too cold. Are your hands and feet usually cold?"
"It's cold, makes you feel cold easily, and also makes you prone to diarrhea."
Did you live in a damp place when you were a child?
"Yes, we left our child in our hometown when he was little, because the house there was very damp."
"Please have the parent leave for a moment; I need to examine her."
Although the child's mother didn't quite understand, she thought that the child was indeed grown up and there were many private things she didn't want to see, so she went out anyway.
"Young lady, have you had sexual intercourse?"
Qin Jing's statement was not a question, but a statement of affirmation.
The girl didn't speak, and kept her head down.
"I'm a doctor. You need to tell me the truth about your situation. Of course, this is your privacy, and I won't tell anyone else."
The girl nodded, but still didn't look up.
"Girl, dating is fine, and I understand the exploratory nature of puberty, but firstly, both of you need to pay attention to hygiene, otherwise you're prone to gynecological diseases; secondly, you need to use contraception. If you accidentally get pregnant, don't go to shady places, and protect yourself."
He said wearing it was uncomfortable and he didn't like it; I had been pregnant before.
"More than once? And you didn't go to any reputable places, did you?"
Qin Jing's statement was not a question, but a statement of certainty, and it must be said that she was very accurate in her assessment of the situation.
"Um……"
"This won't do. If it really doesn't work, why don't you find another boyfriend?"
Qin Zifu couldn't take it anymore. Wasn't this just messing with the young girl?
"Fufu"
Qin Jing stopped her, saying that advising a breakup was not a doctor's responsibility.
I really like him.
"..."
Is this person just love-struck?
"Anyway, I've already said what I wanted to say. Your body is already severely depleted. Your health wasn't good to begin with, and this repeated neglect will cause significant damage in the future, potentially affecting your ability to have children."
"I understand, please don't tell my parents."
Right now, she's just trying to keep her parents from finding out. As for whether she can get pregnant in the future, that's too far off for her, and she hasn't thought about those things yet.
"Okay, let's call the parents in."
Qin Jing ordered an ultrasound to check the condition of her uterus, to see if there were any remaining tissues, and to see how the unlicensed clinic had damaged her endometrium.
"Soak your feet more when you get home, take your medicine on time, avoid cold foods and drinks, and have your parents supervise you."
"Okay, thank you."
Qin Jing waved her hand, signaling for the person to leave.
"How can there be such a clueless child? I don't think I was like this when I was a child."
"Everyone's upbringing is different, and everyone's desire to explore is different. She didn't grow up with her parents, so she may have lacked paternal love and wanted to find that feeling of being loved from others. If her parents didn't provide good guidance, she might easily become confused."
"That's true. In our country, we tend to express emotions more reservedly. Many parents don't provide sex education for their children, and some are even ashamed to talk about it. The more they are like this, the more curious they become. In fact, sex education is very common abroad."
"Let's see if she comes back next time. I doubt she listened to anything."
Qin Zifu nodded; she agreed with this point.
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